Individual
CHRISTINA DAWN GJOVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6260
(503) 249-5286
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6260
(503) 249-5286
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
099000497RN
OR
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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