person
Kourtney Raven Denino
Psychiatric/Mental Health Nurse Practitioner in Roseburg, Oregon
NPI 1841868015

Kourtney Raven Denino is a Psychiatric/Mental Health Nurse Practitioner based in Roseburg, OR and is specialized in Psychiatric/Mental Health. Kourtney Raven Denino practices in Roseburg, OR. The NPI Number for Kourtney Raven Denino is 1841868015 and holds a License No. 201406969LPN (Oregon).

The current practice location address for Kourtney Raven Denino is 621 W Madrone St, Roseburg, OR and can be reached out via phone at 541-672-2691 and via fax at 833-299-8415. You can also correspond with Kourtney Raven Denino through the mailing address at PO BOX 1121, ROSEBURG, OR - 97470-0254 (mailing address contact number: 541-672-2691).

Location: 621 W Madrone St, Roseburg, OR, 97470-0254
person
Provider Profile Details
NPI Number
1841868015
Provider Name
Kourtney Raven Denino
Credential
Provider Entity Type
Individual
Gender
Female
Address
621 W Madrone St, Roseburg, OR, 97470-0254
Phone Number
541-672-2691
Fax Number
833-299-8415
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 W Madrone St
City
State
Zip
97470-3090
Phone Number
541-672-2691
Fax Number
833-299-8415
person
Provider Business Mailing Address Details
Address
621 W Madrone St
City
State
Zip
97470-3090
Phone Number
541-672-2691
Fax Number
833-299-8415
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201406969LPN (Oregon)
Definition
Definition to come...
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