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Individual

JOSH SIZEMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, MN, PMHNP

Contact information

Practice address
2075 NW GRANT AVE, CORVALLIS, OR 97330-4366
(541) 368-3152
(855) 279-0612
Mailing address
2075 NW GRANT AVE, CORVALLIS, OR 97330-4366
(541) 368-3152
(855) 279-0612

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201043002RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201250124NP
OR

Other

Enumeration date
04/03/2012
Last updated
04/16/2019
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