Individual
FRANCINE FONKOU MCCOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 NE 162ND AVE BUILDING F, PORTLAND, OR 97230
(503) 255-4205
Mailing address
4597 SE BROOKSIDE DR APT 24, MILWAUKIE, OR 97222-4144
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
202102469RN
OR
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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