Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proventus Psychiatry

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1710797378

Proventus Psychiatry is a Psychiatric/Mental Health Nurse Practitioner in Clackamas, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10121 SE Sunnyside Rd Ste 300-3474
Clackamas, OR 97015-5745
Phone: (971) 570-0299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1710797378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Channing Flury — Manager · (971) 570-0299
NPI enumeratedJanuary 7, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address10121 Se Sunnyside Rd Ste 300-3474, Clackamas, OR 97015-5745

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