Individual
MEGAN DANIELLE ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13850 SE AUTUMN RIDGE TER, MILWAUKIE, OR 97267-2150
(503) 974-9250
(503) 974-9586
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201909392RN
OR
Other
Enumeration date
10/01/2019
Last updated
09/29/2020
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