Individual provider · Type 1 NPI
Colleen Bettilyen Davenport, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Baker City, OR
NPI number
1003223694
Active
Practice location
3425 13th St
Baker City, OR 97814-1340
Fax (253) 584-1508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60443726 (WA) |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | AP60443726 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201909237NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003223694
Colleen Bettilyen Davenport, PMHNP's National Provider Identifier is 1003223694, issued on Jul 16, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baker City, OR. The record was last updated on Mar 25, 2022.