Individual
KIRSTEN A CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8103
Mailing address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
042150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299017
—
OR
01
—
P000T1831
MEDICARE RAILROAD
OR
Enumeration date
07/27/2006
Last updated
08/13/2007
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