MRS. SHERYL ROSALES MOREN PMHNP NPI 1417095241

NPI Information

NPI: 1417095241
Provider Name: MRS. SHERYL ROSALES MOREN, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2029 SE JEFFERSON ST
SUITE 101
MILWAUKIE, OR
ZIP 97222
Phone: (503) 714-6481
Get Directions

MRS. Sheryl Rosales Moren, PMHNP is a psychiatric/mental health nurse practitioner in Milwaukie, OR. MRS. Sheryl Rosales Moren, PMHNP NPI is 1417095241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2029 SE JEFFERSON ST
SUITE 101
MILWAUKIE, OR
ZIP 97222-605
Phone: (503) 714-6481
Fax: (503) 894-7972

The enumeration date for this NPI number is 2/2/2007 and was last updated on 4/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		200241621RN	OREGON	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200450025NP PMHNP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	025187	MEDICAID	OREGON
2	Q47989	MEDICARE UPIN	OREGON
3	131961	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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