Individual
CHRISTOPHER FIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAC
Contact information
Practice address
20695 SW KINNAMAN RD, ALOHA, OR 97078-1064
(503) 591-8371
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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