Organization
PROVENTUS PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNING DANAE FLURY PMHNP (MANAGER)
(971) 570-0299
Entity
Organization
Contact information
Practice address
10121 SE SUNNYSIDE RD STE 300-3474, CLACKAMAS, OR 97015-5745
(971) 570-0299
Mailing address
10121 SE SUNNYSIDE RD STE 300-3474, CLACKAMAS, OR 97015-5745
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
03/12/2025
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