NPI 1003223694
Colleen Bettilyen Davenport, PMHNP
Practice location
- Address
- 3425 13th St, Baker City, OR 97814-1340
- Phone
- (541) 523-7400
- Fax
- (253) 584-1508
- Mailing address
- 3425 13th St, Backer City, OR 97814-1340
Registered specialties (3)
Psychiatric/Mental Health Nurse Practitioner
Primary
Psychiatric/Mental Health Nurse Practitioner
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Registry record
- NPI
- 1003223694
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jul 2014
- Record last updated
- 25 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.