person
Colleen Bettilyen Davenport, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Baker City, Oregon
NPI 1003223694

Colleen Bettilyen Davenport is a Psychiatric/Mental Health Nurse Practitioner based in Backer City, OR and is specialized in Psychiatric/Mental Health. Colleen Bettilyen Davenport practices in Baker City, OR and has the professional credentials of PMHNP. The NPI Number for Colleen Bettilyen Davenport is 1003223694 and holds a License No. AP60443726 (Oregon).

The current practice location address for Colleen Bettilyen Davenport is 3425 13Th St, Baker City, OR and can be reached out via phone at 541-523-7400 and via fax at 253-584-1508.

Location: 3425 13Th St, Baker City, OR, 97814-1340
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Provider Profile Details
NPI Number
1003223694
Provider Name
Colleen Bettilyen Davenport
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3425 13Th St, Baker City, OR, 97814-1340
Phone Number
541-523-7400
Fax Number
253-584-1508
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500770467 05 OR
institution
Provider Business Practice Location Address Details
Address
3425 13Th St
City
State
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
253-584-1508
person
Provider Business Mailing Address Details
Address
3425 13Th St
City
State
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
253-584-1508
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP60443726 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
AP60443726 (Washington)
Definition
Definition to come...
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