Individual provider · Type 1 NPI

David Ali Jimenez

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1770197071 Active

Practice location

12121 E Burnside St
Portland, OR 97216-3737

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201909027RN (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10013999 (OR)

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

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About NPI 1770197071

David Ali Jimenez's National Provider Identifier is 1770197071, issued on Sep 3, 2020. 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 Aug 15, 2023.