Individual
CHRISTIE MARIE RIVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2158 EXCHANGE ST, SUITE 304, ASTORIA, OR 97103-3316
(503) 325-8315
(503) 325-8602
Mailing address
PO BOX 239, ASTORIA, OR 97103-0239
(503) 325-8315
(503) 325-8602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250011NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231893
—
OR
Enumeration date
07/28/2010
Last updated
02/01/2012
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