NPI 1659405298 · live from the CMS NPI Registry
Lucinda Connery, PMHNP
Nurse Practitioner, Psych/Mental Health in Portland, OR. National Provider Identifier 1659405298, active.
NPI record
| NPI | 1659405298 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 5139 N Lombard St, Portland, OR 97203 |
| Practice phone | 503-285-9871 |
| Mailing address | 100 Crescent Dr, Kelso, WA 98626 |
| Enumerated | March 15, 2007 |
| Last updated | November 2, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 097006714RN (OR) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 200650184NP (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.