Megan Danielle Archuleta

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Milwaukie, OR

NPI 1780225706 · NPPES record last updated Sep 29, 2020

Key facts

NPI
1780225706
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
201909392RN (OR)
Practice address
13850 SE Autumn Ridge Ter
Milwaukie, OR 97267-2150
Phone
(503) 974-9250
Fax
(503) 974-9586
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
201909392RNORMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiacare Services Past
since Oct 4, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychiatric/Mental Health Registered Nurse 163WP0808X 201909392RN OR Yes

Addresses

Primary practice location

13850 SE Autumn Ridge Ter
Milwaukie, OR 97267-2150

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170

Other providers in Milwaukie, OR

All providers in Milwaukie, OR · Psychiatric/Mental Health Registered Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.