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1366228264
CHARISA ANN KING
PORTLAND, OR
NPI
1366228264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 100152)
Enumeration Date
2023-09-06
Last Update Date
2023-10-18
Business Address
CHARISA ANN KING APRN-NP, PMHNP-BC
6647 SE MILWAUKIE AVE STE B210
PORTLAND, OR 97202-5661
Phone number: 971-258-2120
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Mailing Address
CHARISA ANN KING APRN-NP, PMHNP-BC
17617 SYDNI CT
LAKE OSWEGO, OR 97035-5588
Phone number: 435-850-9535
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