Individual
DR. PENELOPE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV PSYD
Contact information
Practice address
1817 NE 17TH AVENUE, SAMARITAN COUNSELING CENTERS, PORTLAND, OR 97212
(503) 281-3318
(503) 281-0937
Mailing address
3862 SE BENTLEY STREET, HILLSBORO, OR 97123
(503) 615-8010
(503) 615-8010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271177
—
OR
Enumeration date
07/12/2006
Last updated
07/08/2007
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