Individual
LINDA M CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468-1613
(207) 827-6128
(207) 827-5533
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401-8600
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001119
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA001119
STATE LICENSE NUMBER
ME
Enumeration date
01/08/2008
Last updated
09/03/2010
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