DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VANESSA ANNE UNDERWOOD PMHNP

MEDICARE:   VANESSA ANNE UNDERWOOD  PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner201150184NPOR

General Provider Information

NPI Number : 1700155538
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ANNE UNDERWOOD PMHNP
Provider Business Mailing Address
First Line : 4400 DALLAS HWY NW
Second Line :
City : SALEM
State : OR
Zip : 97304-3338
Country : US
Telephone Number : 971-915-2463
Fax Number : 503-990-6828
Provider Business Practice Location Address
First Line : 4400 DALLAS HWY NW
Second Line :
City : SALEM
State : OR
Zip : 97304-3338
Country : US
Telephone Number : 971-915-2463
Fax Number : 503-990-6828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2011
Last Update Date : 04/08/2025

Similar Medicare Providers

1831031616 — PAMELA A HAMPTON
Practice Location Address:
4400 SALEM DALLAS HWY NW
SALEM, OR
97304-3338
Practice Phone: 503-991-5091
Practice Fax: 503-990-6828
1215215660 — DR. LESLIE MONARCH LESLIE MONARCH LAC
Practice Location Address:
4400 SALEM DALLAS HWY NW
SALEM, OR
97304-3338
Practice Phone: 503-208-6425
Practice Fax:
1295169332 — MRS. MONIQUE JALCA CSWA
Practice Location Address:
4400 SALEM DALLAS HWY NW
SALEM, OR
97304-3338
Practice Phone: 503-991-5091
Practice Fax:
1801206834 — DARLENE MARIE STIMSON LMFT
Practice Location Address:
4400 SALEM DALLAS HWY NW
SALEM, OR
97304-3338
Practice Phone: 209-769-6412
Practice Fax: 503-990-6828
1386151843 — ANNIE WOODWORTH REGISTERED ASSOCIATE
Practice Location Address:
4400 SALEM DALLAS HWY NW
SALEM, OR
97304-3338
Practice Phone: 503-991-5091
Practice Fax:
1518587989 — DR. KRISTY PEARL ARNESON D.C.
Practice Location Address:
4400 SALEM DALLAS HWY NW
SALEM, OR
97304-3338
Practice Phone: 503-208-6425
Practice Fax:

Directions to “ VANESSA ANNE UNDERWOOD PMHNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.