Individual
DR. KELLY WITBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
833 SW 11TH AVE STE 915, PORTLAND, OR 97205-2123
(971) 366-2315
(360) 245-9181
Mailing address
833 SW 11TH AVE STE 915, PORTLAND, OR 97205-2123
(971) 366-2315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
167743
AK
363LF0000X
Family Nurse Practitioner
201507845NP-PP
OR
363LF0000X
Family Nurse Practitioner
9277250
FL
363LF0000X
Family Nurse Practitioner
AP60787605
WA
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-170570
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
167743
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201507845NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9277250
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60787605
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-170570
MT
Other
Enumeration date
10/02/2015
Last updated
02/03/2024
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