Individual provider · Type 1 NPI

Jacob Gabriel Kirkwood, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Happy Valley, OR

NPI number 1700566585 Active

Practice location

10151 SE Sunnyside Rd Ste 480
Happy Valley, OR 97015-5705

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201607151 (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10011841 (OR)

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

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About NPI 1700566585

Jacob Gabriel Kirkwood, PMHNP's National Provider Identifier is 1700566585, issued on Jul 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Happy Valley, OR. The record was last updated on Jul 18, 2023.