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PROVENTUS PSYCHIATRY
NPI 1710797378
Nurse Practitioner - Psychiatric/Mental Health in Clackamas, OR

Active since January 07, 2025
10121 SE SUNNYSIDE RD STE 300-3474, CLACKAMAS, OR 97015(971) 570-0299 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2025, Jan 7, 2025 (2 updates tracked since 2025).

About Proventus Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVENTUS PSYCHIATRY (NPI 1710797378) is a healthcare organization registered as a psychiatric/mental health in Clackamas, Oregon and active in the NPI registry since January 2025. The organization lists Channing Danae Flury, Manager, as its authorized official.

NPPES Registry Identity

NPI1710797378
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePROVENTUS PSYCHIATRY
Location Address10121 SE SUNNYSIDE RD STE 300-3474Clackamas, OR 97015-5745
Mailing Address10121 Se Sunnyside Rd Ste 300-3474Clackamas, OR 97015-5745
Phone(971) 570-0299
Organization SubpartNo
Authorized OfficialChanning Danae FluryManager · (971) 570-0299
Enumeration DateJanuary 7, 2025
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1710797378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10121 SE SUNNYSIDE RD STE 300-3474, Clackamas, OR 97015
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANNING DANAE FLURY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10121 SE SUNNYSIDE RD STE 300-3474
CLACKAMAS, OR 97015
Clackamas County (971) 570-0299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proventus Psychiatry's NPI number?

The NPI number for Proventus Psychiatry is 1710797378. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Proventus Psychiatry located?

Proventus Psychiatry is located at 10121 SE Sunnyside Rd Ste 300-3474, Clackamas, OR 97015. The listed phone number is (971) 570-0299.

What is Proventus Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Proventus Psychiatry was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.