Lena Marlene Witkowski, RN, QMHP
Registered Nurse, Psych/Mental Health, Adult in Gresham, OR. Individual provider (NPI-1).
NPI number1982129151
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982129151
- Entity type
- Individual (NPI-1)
- Name
- Lena Marlene Witkowski
- Credential
- RN, QMHP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 201141562RN | OR | Yes |
Practice location
4101 Ne Division StGresham, OR 97030-4617
Phone 971-235-4591
Mailing address
4101 Ne Division StGresham, OR 97030-4617
Phone 971-235-4591
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