Individual
CHARLOTTE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1120 SW 3RD AVE, PORTLAND, OR 97204-2828
(503) 988-3689
Mailing address
15795 SW 87TH AVE, PORTLAND, OR 97224-5686
(503) 913-4594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10007512
OR
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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