Provider Demographics
NPI:1205081767
Name:BRENDEN, DANA M (PMHNP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:BRENDEN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:M
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13140 SW MADISON CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-7759
Mailing Address - Country:US
Mailing Address - Phone:503-579-6397
Mailing Address - Fax:
Practice Address - Street 1:4531 SE BELMONT ST FL 3
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-1675
Practice Address - Country:US
Practice Address - Phone:503-234-3400
Practice Address - Fax:503-234-9424
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200850090NP-PP163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health