Janiece Desocio PHD, RN, PMHNP

NPI 1083790554 - Registered Nurse - 163W00000X

NPI Details
NPI 1083790554
Gender Male
Enumeration Date 10/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2800 N VANCOUVER AVE
SUITE 118
PORTLAND OR, 97227-1630, US
Phone (503) 249-8851
Fax (503) 282-3409
Business Location
2581 NE 31ST AVE
PORTLAND OR, 97212-3660, US
Phone (503) 235-0545
Fax
Toxanomy
Taxonomy Code 163W00000X
License State
License Number
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According to our database, Dr. Janiece Desocio PHD, RN, PMHNP NPI is 1083790554, taxonomy code is 163W00000X Janiece Desocio PHD, RN, PMHNP physically located at 2800 N Vancouver Ave, Portland OR, 97227-1630. NPI Number Janiece Desocio PHD, RN, PMHNP has the Individual type.

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1083790554 NPI number is provided on an as is basis without warranty of any kind. 1083790554 is maintained by the National Plan & Provider Enumeration System. The contents of Janiece Desocio PHD, RN, PMHNP are for informational purposes only.