Organization
HOPE SPRINGS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI LYNN DAMEWOOD PMHNP-BC (OWNER/PRACTITIONER)
(541) 643-1638
Entity
Organization
Contact information
Practice address
20172 NORTH UMPQUA HWY., GLIDE, OR 97443
(541) 496-0298
(541) 496-0703
Mailing address
P.O. BOX 458, GLIDE, OR 97443
(541) 496-0298
(541) 496-0703
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500697442
—
OR
Enumeration date
11/30/2015
Last updated
06/17/2016
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