Individual provider · Type 1 NPI

Mary K. Bushnell, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1336287085 Active

Practice location

2415 SE 43rd Ave, Suite 100
Portland, OR 97206-1600

Fax (503) 872-0116

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1336287085

Mary K. Bushnell, PMHNP's National Provider Identifier is 1336287085, issued on Feb 2, 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.