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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 Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for COLLEEN B DAVENPORT · (Female)

NPI Number 1003223694
Status Active
Credentials PMHNP
Entity Individual
Enumeration date 07/16/2014
Last updated 03/25/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 201909237NP-PP
  • WA License # AP60443726
  • OR Medicaid 500770467
Hospital affiliation(s) Not Available
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.

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