Individual
MARISSA ALKEMADE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
767 WILLAMETTE ST STE 301C, EUGENE, OR 97401-2993
(541) 915-5828
Mailing address
767 WILLAMETTE ST STE 301C, EUGENE, OR 97401-2993
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10008119
OR
Other
Enumeration date
05/05/2023
Last updated
10/17/2023
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