Provider Demographics
NPI:1417583170
Name:MONSON, BRITTANY JOY (PHMNP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:JOY
Last Name:MONSON
Suffix:
Gender:F
Credentials:PHMNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12338 SE 143RD PL
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-6545
Mailing Address - Country:US
Mailing Address - Phone:971-235-8598
Mailing Address - Fax:
Practice Address - Street 1:12115 SW 70TH AVE
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-9647
Practice Address - Country:US
Practice Address - Phone:971-235-8598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202002075NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health