Individual provider · Type 1 NPI
Roger Van Tunks, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1114520863
Active
Practice location
7105 SW Varns St Ste 270
Portland, OR 97223-8173
Mailing address
29242 SW Villebois Dr S
Wilsonville, OR 97070-7315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202010448NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1114520863
Roger Van Tunks, PMHNP's National Provider Identifier is 1114520863, issued on Nov 17, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Nov 17, 2020.