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Individual

CHRISTINA STAIR KEENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
421 SW 5TH AVE, PORTLAND, OR 97204-2205
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
(503) 235-5049

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201800971NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500793141
OR
Enumeration date
12/13/2006
Last updated
03/07/2023
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