COREY ELIZABETH WATSON NPI 1083078265

NPI Information

NPI: 1083078265
Provider Name: COREY ELIZABETH WATSON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1225 NE 2ND AVE
PORTLAND, OR
ZIP 97232
Phone: (503) 944-8000
Get Directions

Corey Elizabeth Watson is a psychiatric/mental health nurse practitioner in Portland, OR. Corey Elizabeth Watson NPI is 1083078265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1225 NE 2ND AVE
PORTLAND, OR
ZIP 97232
Phone: (503) 944-8000
Fax: (503) 944-8017

The NPI 1083078265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 4/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2016012318	MINNESOTA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	234275-3	MINNESOTA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201810266NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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