Individual provider · Type 1 NPI

Emmett Jubilee Pennington-Guthrie, RN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1619794708 Active

Practice location

722 NE 162nd Ave
Portland, OR 97230-5760

Mailing address

360 Leslie St SE
Salem, OR 97301-3504

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X10032133 (OR)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1619794708

Emmett Jubilee Pennington-Guthrie, RN's National Provider Identifier is 1619794708, issued on Sep 20, 2024. 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 Sep 20, 2024.