Individual provider · Type 1 NPI

Lydia Anne M. Bartholow, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1790038271 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Other practice locations

  • 10362 SW Mcdonald St, Tigard, OR 97224-4863 · (503) 239-8400

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201250177NP (OR)

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

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About NPI 1790038271

Lydia Anne M. Bartholow, PMHNP's National Provider Identifier is 1790038271, issued on Oct 20, 2012. 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 Mar 9, 2020.