Individual
CHRISTINE MARIE ENSIGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, DNP
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(619) 302-3761
Mailing address
3181SWSAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201505440NP-PP
OR
363LF0000X
Family Nurse Practitioner
95002734
CA
Other
Enumeration date
07/20/2015
Last updated
08/20/2015
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