Individual provider · Type 1 NPI

Kristyn Renee Prockish, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Bend, OR

NPI number 1164112827 Active

Practice location

62930 O B Riley Rd Ste 200
Bend, OR 97703-9459

Fax (833) 972-0672

Mailing address

399 E 10th Ave
Eugene, OR 97401-3380

Other practice locations

  • 12025 115th Ave NE Ste 200, Kirkland, WA 98034-6935 · (425) 821-1810

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10008017 (OR)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP70011033 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1164112827

Kristyn Renee Prockish, PMHNP's National Provider Identifier is 1164112827, issued on May 8, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bend, OR. The record was last updated on Sep 22, 2025.