Individual
JENNIFER HOPE CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020624
—
WA
05
—
500605481
—
OR
Enumeration date
05/23/2005
Last updated
12/22/2011
Update your record
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