Individual provider · Type 1 NPI

John Charles Eubanks

Adult Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1194209403 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Mailing address

3710 SW US Veterans Hospital Rd # 5C
Portland, OR 97239-2964

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X201806106RN (OR)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1194209403

John Charles Eubanks's National Provider Identifier is 1194209403, issued on Sep 21, 2018. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Portland, OR. The record was last updated on Sep 21, 2018.