Individual
CHRISTINIA LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N GRAHAM ST, PORTLAND, OR 97227-1654
(503) 701-3633
Mailing address
4056 NE 7TH AVE, PORTLAND, OR 97212-1135
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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