Individual
DR. NICOLE DIDENTI CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2250 NW FLANDERS ST, #306, PORTLAND, OR 97210-3443
(503) 226-0558
(503) 276-1284
Mailing address
2250 NW FLANDERS ST, #306, PORTLAND, OR 97210-3443
(503) 276-1290
(503) 343-6261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD162095
OR
2084P0800X
Psychiatry Physician
233158
MA
2084P0800X
Psychiatry Physician
MD162095
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD162095
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655795
—
OR
05
—
500655896
—
OR
Enumeration date
07/15/2007
Last updated
10/26/2023
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