National Provider Identifier Database

COLLEEN B DAVENPORT, PMHNP – NPI #1003223694
Psychiatric/Mental Health


Contact Information

COLLEEN B DAVENPORT, PMHNP
3425 13TH ST
BAKER CITY, OR97814-1340
Phone: 541-523-7400
Fax: 253-584-1508
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Psychiatric/Mental Health, Adult 364SP0809X

* Indicates primary specialty

NPI Profile & details for COLLEEN B DAVENPORT

NPI Number 1003223694
Credentials PMHNP
Entity Individual
Enumeration date 07/16/2014
Last updated 03/25/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: 201909237NP-PP
  • WA License #: AP60443726
  • OR Medicaid: 500770467
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for COLLEEN B DAVENPORT, PMHNP

There are currently no reviews for COLLEEN B DAVENPORT, PMHNP


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