Doctor Name: | MS. BARBARA G ENOS |
NPI Number: | 1003086927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, PMHNP |
License Number: | 20085002NP PMHNP-PP |
Business Practice Address: | 2650 Washburn Way Suite 180 Klamath Falls, OR - 976034596 |
Business Phone Number: | 5418841952 |
Business Fax Number: | 5418846085 |
Mailing Address: | 3255 Washburn Way, Suite 6, #160 KLAMATH FALLS |
State: | OR |
Postal Code: | 976034583 |
Phone Number: | 5418841952 |
Fax Number: | 5418846085 |
NPI Enumeration Date: | 03/06/2008 |
NPI Last Update Date: | 03/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 20085002NP PMHNP-PP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |