Individual provider · Type 1 NPI

Dawn L. Wylde, RN/QMHP-C

Registered Nurse · Portland, OR

NPI number 1902261340 Active

Practice location

17645 NW Saint Helens Rd
Portland, OR 97231-1729

Call (503) 621-1069 Map

Fax (503) 621-0200

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Other practice locations

12360 E Burnside St, Portland, OR 97233-1042 · (971) 279-4800
703 NE Hancock St, Portland, OR 97212-3955 · (503) 230-9875
620 NE 2nd St, Gresham, OR 97030-7514 · (971) 274-3757

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	23-QMHPC-001204 (OR)
Registered Nurse	163W00000X	RN60392843 (WA)
Registered Nurse Primary	163W00000X	201401462RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1902261340

Dawn L. Wylde, RN/QMHP-C's National Provider Identifier is 1902261340, issued on Dec 30, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Apr 27, 2023.