COLLEEN BETTILYEN DAVENPORT

BAKER CITY, OR
NPI1003223694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201909237NP-PP)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60443726)
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: WA  AP60443726)
Enumeration Date2014-07-16
Last Update Date2022-03-25
Business Address
COLLEEN BETTILYEN DAVENPORT PMHNP
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
Mailing Address
COLLEEN BETTILYEN DAVENPORT PMHNP
3425 13TH ST
BACKER CITY, OR 97814-1340
Phone number: 541-523-7400