Individual
CRISTIN EILEEN MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
5222 SE 109TH AVE, PORTLAND, OR 97266-3427
(503) 762-0971
Mailing address
5222 SE 109TH AVE, PORTLAND, OR 97266-3427
(503) 762-0971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
097006861RN
OR
363LF0000X
Family Nurse Practitioner
200350111NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277856
—
OR
Enumeration date
07/31/2006
Last updated
09/27/2011
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