Individual provider · Type 1 NPI
Tim Charles Foulke, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1265572937
Active
Practice location
2015 NE 39th Ave
Portland, OR 97212-5305
Fax (503) 281-0052
Mailing address
2434 NE 36th Ave
Portland, OR 97212-5241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 080045508N6 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1265572937
Tim Charles Foulke, PMHNP's National Provider Identifier is 1265572937, issued on Feb 8, 2007. 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 Jul 8, 2007.