Provider Demographics
NPI:1366049389
Name:DAMSGAARD, KERI (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:DAMSGAARD
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 WALTERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1423
Mailing Address - Country:US
Mailing Address - Phone:360-930-6535
Mailing Address - Fax:855-644-3001
Practice Address - Street 1:4660 NE 77TH AVE STE 308
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6705
Practice Address - Country:US
Practice Address - Phone:360-930-6535
Practice Address - Fax:855-644-3001
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60658286163WC0400X
WAAP61255006363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management