Individual
CHRISTY POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1040 NW 22ND AVE, SUITE 520, PORTLAND, OR 97210-3057
(503) 413-8137
(503) 413-6547
Mailing address
5405 NW HAWK PL, PORTLAND, OR 97229-1087
(503) 413-8137
(503) 413-6547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450113NP FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022904
—
OR
Enumeration date
02/15/2006
Last updated
09/09/2011
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