Individual
CHRISTINE M MALANGO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9427 SW BARNES RD, SUITE 395, PORTLAND, OR 97225-6652
(503) 216-2602
(503) 216-2639
Mailing address
PO BOX 13994, PORTLAND, OR 97213-0994
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
087006349N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195008
—
OR
Enumeration date
05/24/2006
Last updated
07/08/2007
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