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Individual

MS. KRISTINA MARIE DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 489-2831
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
200942519RN
OR

Other

Enumeration date
01/20/2010
Last updated
01/20/2010
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