Individual provider · Type 1 NPI

Madison Beasley, PMHNP, RN

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1881305019 Active

Practice location

3050 SE Division St Ste 215
Portland, OR 97202-1997

Fax (503) 715-5469

Mailing address

1121 Remington St
Fort Collins, CO 80524-3735

Other practice locations

  • 1050 Hobbit St Apt J77, Fort Collins, CO 80526-1958 · (970) 237-9378

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X1666456 (CO)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10003916 (OR)

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

6 other providers at this address

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About NPI 1881305019

Madison Beasley, PMHNP, RN's National Provider Identifier is 1881305019, issued on Dec 8, 2022. 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 31, 2025.