Individual
MRS. KIRSTEN EMILY TEIXEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
182 SW ACADEMY ST STE 333, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
182 SW ACADEMY ST STE 333, DALLAS, OR 97338-1996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201403790RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201807434NP-PP
OR
Other
Enumeration date
07/20/2017
Last updated
09/20/2019
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