Individual
MICHAEL A CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5250
(541) 732-5251
Mailing address
PO BOX 3308, PORTLAND, OR 97208-3308
(541) 732-5250
(541) 732-5251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201250016NP
OR
363LA2200X
Adult Health Nurse Practitioner
201250016NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500646352
—
OR
Enumeration date
09/20/2006
Last updated
09/10/2013
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