NATASHA MARIE AVALON GARDNER PMHNP DNP NPI 1518542778

NPI Information

NPI: 1518542778
Provider Name: NATASHA MARIE AVALON GARDNER, PMHNP, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
619 NW 6TH AVE FL 3
PORTLAND, OR
ZIP 97209
Phone: (503) 988-5090
Get Directions

Natasha Marie Avalon Gardner, PMHNP, DNP is a psychiatric/mental health nurse practitioner in Portland, OR with 2 years of experience. Natasha Marie Avalon Gardner, PMHNP, DNP NPI is 1518542778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

619 NW 6TH AVE FL 3
PORTLAND, OR
ZIP 97209-964
Phone: (503) 988-5090
Fax: (503) 988-5022

The NPI 1518542778 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 3/9/2021 and was last updated on 4/22/2024.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	10001791	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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