IndividualActive
Colleen Davenport, PMHNP
NPI 1003223694 · Psychiatric/Mental Health Nurse Practitioner · Baker City, OR
Provider details
- NPI number
- 1003223694
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP60443726 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3425 13th St
Baker City, OR 97814-1340
Phone: (541) 523-7400
Fax: (253) 584-1508
Approximate (ZIP-level) locationGet directions
Mailing address
3425 13th St
Backer City, OR 97814-1340
Registry dates
- Enumerated
- 2014-07-16
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.