Individual
LENA MARLENE WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, QMHP
Contact information
Practice address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(971) 235-4591
Mailing address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(971) 235-4591
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
201141562RN
OR
Other
Enumeration date
08/09/2017
Last updated
07/21/2022
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