Individual provider · Type 1 NPI

Kacie Lauren Blackwell Berry, NP

Psychiatric/Mental Health Nurse Practitioner · Rogue River, OR

NPI number 1225675218 Active

Practice location

213 E Main St
Rogue River, OR 97537-9100

Call (541) 714-5610 Map

Fax (541) 714-5611

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10030427 (OR)

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

About NPI 1225675218

Kacie Lauren Blackwell Berry, NP's National Provider Identifier is 1225675218, issued on Dec 9, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rogue River, OR. The record was last updated on Jan 17, 2025.