Individual
CHRISTINE ANNE VAN WIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(503) 813-2000
Mailing address
300 FENWAY, BOSTON, MA 02115-5820
(503) 270-0184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10028037
OR
Other
Enumeration date
07/13/2023
Last updated
09/27/2024
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