Individual
KELLY M. CHRISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Mailing address
3311 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 222-3531
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA179199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500718575
—
OR
Enumeration date
12/07/2015
Last updated
04/28/2023
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