Type 1 individualNPI 1003223694
COLLEEN BETTILYEN DAVENPORT PMHNP
363LP0808X · BAKER CITY, OR
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 363LP0808X | 363LP0808X | Primary |
| 363LP0808X | 363LP0808X | Additional |
| 364SP0809X | 364SP0809X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s