Individual provider · Type 1 NPI
Koji Kainuma
Psychiatric/Mental Health Nurse Practitioner · Salem, OR
NPI number
1669898268
Active
Practice location
255 Lancaster Dr NE
Salem, OR 97301-5155
Fax (503) 364-0775
Other practice locations
- 255 Lancaster Dr NE, Salem, OR 97301-5155 · (503) 576-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95001713 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201904695RN (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201905019NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669898268
Koji Kainuma's National Provider Identifier is 1669898268, issued on Mar 7, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salem, OR. The record was last updated on Mar 18, 2021.