Individual
JULIE VAN BYSTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1620 E 12TH ST, THE DALLES, OR 97058-3213
(541) 296-9151
Mailing address
1620 E 12TH ST, THE DALLES, OR 97058-3213
(541) 296-9151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10055376
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2025
Last updated
05/13/2026
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