Betty Ang, PH.D., PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salem, OR
NPI 1013016591 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013016591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Practice address
- 1660 Oak St SE
Salem VA Outpatient Clinic
Salem, OR 97301-6942 - Phone
- (503) 316-8817
- Fax
- (503) 316-9037
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | OR | Yes |
Addresses
Primary practice location
1660 Oak St SE
Salem VA Outpatient Clinic
Salem, OR 97301-6942
Mailing address
1660 Oak Street SE
Salem VA Outpatient Clinic
Salem, OR 97301
Phone (503) 316-8817
Other providers in Salem, OR
- Joshua Glenn Andrew
- Hope Elizabeth Andrews
- Kevin Andrews
- Tiina Lee Andrews
- Anew You Studio LLC
- Kyla Jacee Angco
- Anastacia Angel
- Lisa Renee Angelesco
- Vela Angelle
- Joseph Angerillo
All providers in Salem, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.