Individual
CHRISTINA L BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 444-9665
Mailing address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 563-3197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1000944
OR
363LF0000X
Family Nurse Practitioner
Primary
10000944
OR
Other
Enumeration date
10/31/2022
Last updated
11/26/2024
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