Individual
VANESSA ANNE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4400 DALLAS HWY NW, SALEM, OR 97304-3338
(971) 915-2463
(503) 990-6828
Mailing address
4400 DALLAS HWY NW, SALEM, OR 97304-3338
(971) 915-2463
(503) 990-6828
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150184NP
OR
Other
Enumeration date
12/22/2011
Last updated
04/08/2025
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