Individual provider · Type 1 NPI
Christopher Conrady, CPNP
Pediatric Nurse Practitioner · Portland, OR
NPI number
1790759991
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209005250 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 201150022NP (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1790759991
Christopher Conrady, CPNP's National Provider Identifier is 1790759991, issued on Feb 14, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Sep 4, 2012.