Individual provider · Type 1 NPI

Charisa Ann King, APRN-NP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1366228264 Active

Practice location

6647 SE Milwaukie Ave Ste B210
Portland, OR 97202-5661

Mailing address

17617 Sydni Ct
Lake Oswego, OR 97035-5588

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X100152 (OR)

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

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About NPI 1366228264

Charisa Ann King, APRN-NP, PMHNP-BC's National Provider Identifier is 1366228264, issued on Sep 6, 2023. 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 Oct 18, 2023.