Raven Medicine LLC

NPI #1225896111 in Astoria, Oregon

Provider Information

NPI Number: 1225896111
Entity Type: Organization
Organization Name: Raven Medicine LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 6, 2024
Last Updated: Mar 6, 2024

Practice Location

Address: 35951 ABBIE LN
City: Astoria
State: Oregon
ZIP Code: 97103-8101
Phone: (503) 468-8832

Authorized Official

Name: ROBIN LEA KENNING, NP
Title: OWNER/ NP
Phone: (469) 990-3826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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