Ms. MARY LOUISE BLANKENSHIP RN, FNP, PMHNP-BC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1356358477- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, FNP, PMHNP-BC
- Status
- Active
Contact & Location
- Address
- 11740 SW 68TH PKWY STE 200, TIGARD, OR, 972239058
- Phone
- (971) 352-6971
Specialties & Taxonomies
Nurse Practitioner, Primary Care
License: NM #0375722
Nurse Practitioner, Psych/Mental Health
Primary License: OR #10006006
Nurse Practitioner, Psych/Mental Health
License: NM #2023150476