Individual
MRS. CHRISTINA BETH MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 255-4205
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 255-4205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
095000583RN
OR
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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