Individual
SIERRA ALEXIS SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1880 LANCASTER DR NE, SALEM, OR 97305-1089
(503) 395-8614
Mailing address
6329 SAVANNAH ST SE, ALBANY, OR 97322-6120
(916) 835-7471
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10033865
OR
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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