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Individual

NATALYA L MORTIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, PMHNP

Contact information

Practice address
29398 RECOVERY WAY, JUNCTION CITY, OR 97448-8447
(541) 465-2554
Mailing address
1151 CRENSHAW RD, EUGENE, OR 97401-2022
(206) 604-4620

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60219986
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201507290NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60588621
WA

Other

Enumeration date
09/03/2015
Last updated
10/12/2023
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