Individual provider · Type 1 NPI

Christina Dodge, ANP, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1417967167 Active

Practice location

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

Mailing address

2020 SW 71st Ave
Portland, OR 97225-3706

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X091000125N6 (OR)

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

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About NPI 1417967167

Christina Dodge, ANP, PMHNP's National Provider Identifier is 1417967167, issued on Aug 8, 2006. 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.