person
Tamara L Divino, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1386300739

Tamara L Divino is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Tamara L Divino practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for Tamara L Divino is 1386300739 and holds a License No. AP61217138 (Oregon).

The current practice location address for Tamara L Divino is 5228 Ne Hoyt St Ste 300, Portland, OR and can be reached out via phone at 503-215-4860 and via fax at 971-282-0138.

Location: 5228 Ne Hoyt St Ste 300, Portland, OR, 97208-3158
person
Provider Profile Details
NPI Number
1386300739
Provider Name
Tamara L Divino
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
5228 Ne Hoyt St Ste 300, Portland, OR, 97208-3158
Phone Number
503-215-4860
Fax Number
971-282-0138
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5228 Ne Hoyt St Ste 300
City
State
Zip
97213-3055
Phone Number
503-215-4860
Fax Number
971-282-0138
person
Provider Business Mailing Address Details
Address
5228 Ne Hoyt St Ste 300
City
State
Zip
97213-3055
Phone Number
503-215-4860
Fax Number
971-282-0138
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP61217138 (Washington)
Definition
Definition to come...
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