Individual
MR. MYRON JAVON FALKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1700 NW CIVIC DR STE 310, GRESHAM, OR 97030-3774
(503) 666-8832
Mailing address
1700 NW CIVIC DR STE 310, GRESHAM, OR 97030-3774
(503) 666-8832
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202108339NP-PP
OR
Other
Enumeration date
12/06/2013
Last updated
11/25/2024
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