NPI 1669481396 · live from the CMS NPI Registry
Lynda Burnette Grogan, PMHNP
Registered Nurse, Psych/Mental Health, Adult in Portland, OR. National Provider Identifier 1669481396, active.
NPI record
| NPI | 1669481396 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 |
| Practice phone | 503-220-8262 |
| Mailing address | Po Box 1034, P35c, Portland, OR 97207 |
| Enumerated | August 5, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 900001476N6 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.