Individual provider · Type 1 NPI
Korie Kathlyne Mullenberg, ARNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1568239341
Active
Practice location
13908 SE Stark St Ste A
Portland, OR 97233-2161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10019170 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1568239341
Korie Kathlyne Mullenberg, ARNP-BC's National Provider Identifier is 1568239341, issued on Dec 11, 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 Dec 11, 2023.