Individual
CHRISTY ALANA MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 276-9191
Mailing address
101 SW MAIN ST STE 940, PORTLAND, OR 97204-3216
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A91449
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD0000043578
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A914490
—
CA
Enumeration date
11/13/2006
Last updated
04/27/2023
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