Individual
CHRISTINE H HABOUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4531 SE BELMONT ST STE 114, PORTLAND, OR 97215-1675
(503) 232-0856
Mailing address
4531 SE BELMONT ST STE 114, PORTLAND, OR 97215-1675
(503) 232-0856
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201704040NP-PP
OR
363LF0000X
Family Nurse Practitioner
201704039NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201704039NP-PP
OR
Other
Enumeration date
06/12/2017
Last updated
04/18/2024
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