Individual
CHRISTINA IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3050 SE DIVISION ST, STE 215, PORTLAND, OR 97202-1451
(503) 715-6580
Mailing address
3050 SE DIVISION ST, STE 215, PORTLAND, OR 97202-1451
(503) 715-6580
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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