Individual
CHRIS ELAINE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601
(541) 841-8110
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 841-8110
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019044423
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500801177
—
OR
Enumeration date
11/22/2019
Last updated
07/29/2024
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