Individual
CHRISTOFFER E POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1255 HILYARD ST, EUGENE, OR 97401-3718
(541) 686-7300
Mailing address
PO BOX 4078, PORTLAND, OR 97208-4078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036117103
IL
207P00000X
Emergency Medicine Physician
Primary
DO28664
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117103
—
IL
01
—
36117103
BCBS
IL
01
—
P00428110
RAILROAD
IL
Enumeration date
06/07/2007
Last updated
01/27/2025
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