Healthcare Provider Details

I. General information

NPI: 1568474575
Provider Name (Legal Business Name): ARIELLE SOHYON MIN ARNP MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 CENTER ST. NE
SALEM OR
97302
US

IV. Provider business mailing address

3180 CENTER ST. NE
SALEM OR
97302
US

V. Phone/Fax

Practice location:
  • Phone: 503-585-5351
  • Fax: 503-585-4908
Mailing address:
  • Phone: 503-585-5351
  • Fax: 503-585-4908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number081000541N6
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: