Individual
ANDREA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3787 RIVER RD N STE A, KEIZER, OR 97303-4899
(503) 569-2879
Mailing address
3787 RIVER RD N STE A, KEIZER, OR 97303-4899
(971) 312-7163
(503) 362-3352
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202109923NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500799433
—
OR
Enumeration date
09/16/2021
Last updated
12/23/2021
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