Individual
KRISTEN MARIE LEINUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1475 MT. HOOD AVE, WOODBURN, OR 97071
(971) 983-5360
(971) 983-5370
Mailing address
PO BOX 278, WOODBURN, OR 97071
(971) 983-5260
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643270
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201508855NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401643-1
NY
Other
Enumeration date
07/17/2013
Last updated
03/01/2016
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