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Functional Mental Health Llc
Psychiatric/Mental Health Nurse Practitioner in Winston, Oregon
NPI 1154944536

Functional Mental Health Llc is a Psychiatric/Mental Health Nurse Practitioner based in Winston, OR and is specialized in Psychiatric/Mental Health. Functional Mental Health Llc practices in Winston, OR. The NPI Number for Functional Mental Health Llc is 1154944536 and holds a License No. (Oregon).

The current practice location address for Functional Mental Health Llc is 11 Sw Brantley Dr, Winston, OR and can be reached out via phone at 541-679-0366 and via fax at 541-679-4821.

Location: 11 Sw Brantley Dr, Winston, OR, 97496-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154944536
Provider Name
Functional Mental Health Llc
Credential
Provider Entity Type
Organization
Address
11 Sw Brantley Dr, Winston, OR, 97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
Provider Enumeration Date
05/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider Business Mailing Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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