Individual provider · Type 1 NPI

Lynaudry Vickers, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1992358493 Active

Practice location

202 NW 13th Ave
Portland, OR 97209-2953

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201902562RN (OR)
Case Manager/Care Coordinator 171M00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X202008402NP-PP (OR)

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

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About NPI 1992358493

Lynaudry Vickers, PMHNP's National Provider Identifier is 1992358493, issued on Jul 23, 2019. 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 23, 2020.