Individual provider · Type 1 NPI
Ka'imialaimaka La Vine, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1629802632
Active
Practice location
10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10030537 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Beaverton
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About NPI 1629802632
Ka'imialaimaka La Vine, PMHNP-BC's National Provider Identifier is 1629802632, issued on Aug 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Jun 30, 2025.