Organization
MENOPAUSE NORTHWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CAMELI CNM (OWNER)
(503) 951-1581
Entity
Organization
Contact information
Practice address
2712 SE 43RD AVE, PORTLAND, OR 97206-1608
(503) 951-1581
Mailing address
2712 SE 43RD AVE, PORTLAND, OR 97206-1608
(503) 951-1581
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891987079
—
OR
Enumeration date
09/29/2020
Last updated
09/29/2020
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