Individual provider · Type 1 NPI
Dorothea Braxton
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Portland, OR
NPI number
1538433008
Active
Practice location
3415 SE Powell Blvd
Portland, OR 97202-3371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 201040116RN (OR) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1538433008
Dorothea Braxton's National Provider Identifier is 1538433008, issued on Mar 1, 2012. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Portland, OR. The record was last updated on Mar 1, 2012.