Individual provider · Type 1 NPI
Kristen Fernandez-Kong, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1144714858
Active
Practice location
555 SE Martin Luther King Jr Blvd Ste 105
Portland, OR 97214-2595
Fax (855) 631-0578
Mailing address
2130 NW Front Ave Apt 306
Portland, OR 97209-1874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202001075NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1144714858
Kristen Fernandez-Kong, PMHNP-BC's National Provider Identifier is 1144714858, issued on Jun 16, 2018. 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 Jun 11, 2026.