Individual
ANDREA LYNN CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3377 RIVERBEND DRIVE, PEACEHEALTH HOSPITAL MEDICINE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Mailing address
3377 RIVERBEND DRIVE, PEACEHEALTH HOSPITAL MEDICINE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201250121NP
OR
363L00000X
Nurse Practitioner
AP60097977
WA
363LA2200X
Adult Health Nurse Practitioner
AP60097977
WA
363LG0600X
Gerontology Nurse Practitioner
AP60097977
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5006125438
—
OR
Enumeration date
09/23/2009
Last updated
07/24/2023
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