| Doctor Name: | DR. BETTY ANG |
| NPI Number: | 1013016591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., PMHNP |
| License Number: | |
| Business Practice Address: | 1660 Oak St Se Salem Va Outpatient Clinic Salem, OR - 973016942 |
| Business Phone Number: | 5033168817 |
| Business Fax Number: | 5033169037 |
| Mailing Address: | 1660 Oak Street Se, Salem Va Outpatient Clinic SALEM |
| State: | OR |
| Postal Code: | 97301 |
| Phone Number: | 5033168817 |
| Fax Number: | 5033169037 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | |
| 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: | |