Individual
AUDREY ELIZABETH SPEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2701 NW VAUGHN ST STE 470, PORTLAND, OR 97210-5326
(503) 832-4861
Mailing address
2701 NW VAUGHN ST STE 470, PORTLAND, OR 97210-5326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202110944RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10055611
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2021
Last updated
01/15/2026
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