Individual provider · Type 1 NPI
Jesse Dakotah Lawrence-Pine, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1912816703
Active
Practice location
9014 N Wall Ave
Portland, OR 97203-2658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10066659 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912816703
Jesse Dakotah Lawrence-Pine, PMHNP's National Provider Identifier is 1912816703, issued on Sep 5, 2026. 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 Sep 5, 2026.