Individual
MS. KIRSTYN YVONNE EVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-7444
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-7444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201406453NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
200741503RN
OR
Other
Enumeration date
05/20/2011
Last updated
10/06/2014
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