Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 202002490NP-PP | OR |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP60975936 | WA |
NPI | 1023569381 |
---|---|
Provider Name | Marisa Bell |
First Address | Portland, OR 97214-2400 |
Second Address | Portland, OR 97214-2400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2016 |
Last Update Date | 02/12/2021 |