Individual provider · Type 1 NPI
Jaclyn Marie Winfree Hogan
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1700615192
Active
Practice location
1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236
Fax (503) 308-7222
Mailing address
PO Box 8459
Portland, OR 97207-8459
Other practice locations
- 8196 SW Hall Blvd Ste 319, Beaverton, OR 97008-4035 · (503) 741-2735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 10023286 (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10023286 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Samuel Suk, Md, PCGeriatric Medicine (Family Medicine) Physician Beaverton, OR NPI 1992190292
- Tricia A Zigrang LLCClinical Psychologist Beaverton, OR NPI 1497171102
- Yora, LLCMassage Therapist Beaverton, OR NPI 1275819351
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- Alyssa Aurisy, PMHNPPsychiatric/Mental Health Nurse Practitioner Beaverton, OR NPI 1114381415
Other psychiatric/mental health nurse practitioner providers in Beaverton
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- Patricia A. Demsky, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Beaverton, OR NPI 1043517188
- Hillary L. Corson, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Beaverton, OR NPI 1053643866
- Jennifer Helen Barnes, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Beaverton, OR NPI 1073209144
- Alexander Freeman, PMHNPPsychiatric/Mental Health Nurse Practitioner Beaverton, OR NPI 1073312716
- Alyssa Aurisy, PMHNPPsychiatric/Mental Health Nurse Practitioner Beaverton, OR NPI 1114381415
About NPI 1700615192
Jaclyn Marie Winfree Hogan's National Provider Identifier is 1700615192, issued on Aug 1, 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 Sep 12, 2026.