Individual
MS. JUNE AUGUSTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 552-5174
(503) 552-5197
Mailing address
31370 CATER RD, WARREN, OR 97053-9763
(503) 366-0332
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
084054887RN
OR
171M00000X
Case Manager/Care Coordinator
084054887RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084054887RN
REGISTERED NURSE LICENSE
OR
Enumeration date
08/29/2006
Last updated
06/20/2008
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