Individual
VANESSA JOY HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-PMNHP
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-4800
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-4800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
930386823
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202211731NP-PP
OR
Other
Enumeration date
05/03/2022
Last updated
10/24/2022
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