Healthcare Provider Details

I. General information

NPI: 1215716444
Provider Name (Legal Business Name): CELESTE ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CENTERPOINTE DR STE 400
LAKE OSWEGO OR
97035-8661
US

IV. Provider business mailing address

5 CENTERPOINTE DR STE 400
LAKE OSWEGO OR
97035-8661
US

V. Phone/Fax

Practice location:
  • Phone: 503-744-7186
  • Fax:
Mailing address:
  • Phone: 503-744-7186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10016622
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: