SearchOregonMental Illness Community Based Residential Treatment Facility

Anne Wisbey

NPI 1194049254 · on the registry since 2010 · sole proprietor

Practice

Address
104 South Alder St.
Wallowa, OR 97885
Phone
(541) 886-3039
Fax
(541) 886-3039

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon