Whalio Doctors

NPI 1003223694

Colleen Bettilyen Davenport, PMHNP

Practitioner Psychiatric/Mental Health Nurse Practitioner Baker City, OR

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
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 201909237NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence AP60443726 (WA)
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence AP60443726 (WA)

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.