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NPI Code Detail

MEDICARE: DR. ADARA KADIA JADE LANNING DNP, PMHNP, APRN, RN

MEDICARE: DR. ADARA KADIA JADE LANNING DNP, PMHNP, APRN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP70049823WA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner10050825OR

General Provider Information

NPI Number : 1609605849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADARA KADIA JADE LANNING DNP, PMHNP, APRN, RN
Provider Business Mailing Address
First Line : 1547 NE 40TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-1862
Country : US
Telephone Number : 541-621-5786
Fax Number :
Provider Business Practice Location Address
First Line : 1547 NE 40TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-1862
Country : US
Telephone Number : 541-621-5786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2024
Last Update Date : 12/09/2025

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