Individual provider · Type 1 NPI
Kelly Christine Locker, RN
Psychiatric/Mental Health Registered Nurse · Portland, OR
NPI number
1558635979
Active
Practice location
2330 NE Siskiyou St
Portland, OR 97212-2471
Fax (503) 528-0764
Mailing address
PO Box 8459
Portland, OR 97207-8459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 201042912RN (OR) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1558635979
Kelly Christine Locker, RN's National Provider Identifier is 1558635979, issued on Mar 2, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Portland, OR. The record was last updated on Mar 2, 2012.