Individual provider · Type 1 NPI

Brionna Gundlach

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1639998248 Active

Practice location

314 NE 19th Ave
Portland, OR 97232-2829

Mailing address

4621 S Corbett Ave
Portland, OR 97239-4209

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10031578 (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1639998248

Brionna Gundlach's National Provider Identifier is 1639998248, issued on Oct 9, 2024. 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 Oct 9, 2024.