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Individual

MRS. CHRISTINA E FYFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
18610 NW CORNELL RD, SUITE 101, HILLSBORO, OR 97124-9204
(503) 216-9360
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MV0765428
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500672338
OR
01
P01393359
RR MEDICARE - PHS
OR
Enumeration date
09/14/2006
Last updated
03/25/2016
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