Nan M. Arnold
Individual provider Active NPI Other Technician · McMinnville, OR
NPI 1831467372 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1831467372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- License
- 1659 (OR)
- Practice address
- 119 NE 3Rd St
McMinnville, OR 97128-4901 - Phone
- (503) 434-5124
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1659 | OR | MD | Clinical Child & Adolescent Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 1659 | OR | Yes |
Addresses
Primary practice location
119 NE 3Rd St
McMinnville, OR 97128-4901
Mailing address
119 NE 3Rd St
McMinnville, OR 97128-4901
Phone (503) 434-5124
Other providers in McMinnville, OR
- Summer Breeayn Ardianto
- Phillip Arends
- Joshua Armstrong
- Merlynn Lauralee Arnett
- Barbara Arnold
- Nicole Arnold
- Randi Elaiaine Arnold
- Dennis Gregory Arnone
- Francisco Arroyo
- Stephanie Arthur
All providers in McMinnville, OR · Other Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2011. 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.