Individual provider · Type 1 NPI
Carolyn M. Rodriguez, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1700770864
Active
Practice location
11740 SW 68th Pkwy Ste 200
Portland, OR 97223-9058
Mailing address
5441 S Macadam Ave Ste R
Portland, OR 97239-6106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10045401 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1700770864
Carolyn M. Rodriguez, PMHNP-BC's National Provider Identifier is 1700770864, issued on Jun 4, 2025. 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 Jun 4, 2025.