Hope Springs Health LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Glide, OR

NPI 1912371063 · NPPES record last updated Jun 17, 2016

Key facts

NPI
1912371063
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
HOPE SPRINGS HEALTH LLC
Practice address
20172 North Umpqua Hwy.
Glide, OR 97443
Phone
(541) 496-0298
Fax
(541) 496-0703
NPI assigned
Nov 30, 2015
Organization subpart
No

Authorized official

Name
Mrs. Toni Lynn Damewood, PMHNP-BC
Title
Owner/Practitioner
Phone
(541) 643-1638

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

20172 N Umpqua Hwy
Glide, OR 97443
Phone (541) 496-0298

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

20172 North Umpqua Hwy.
Glide, OR 97443

Mailing address

P.O. Box 458
Glide, OR 97443
Phone (541) 496-0298

Other identifiers

IdentifierTypeStateIssuer
500697442MedicaidOR

Other providers in Glide, OR

All providers in Glide, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon

Sources for this page

Verify at the official NPI Registry.