Individual
MYCHALEA ROSE MILBRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
435 E NEWPORT AVE, HERMISTON, OR 97838-2487
(541) 564-9390
(541) 564-9384
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
(541) 676-5662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
Primary
1039713
OR
Other
Enumeration date
11/14/2022
Last updated
08/08/2024
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