Individual provider · Type 1 NPI
Penelope Christianson, MDIV PSYD
Specialist · Portland, OR
NPI number
1942235262
Active
Practice location
1817 NE 17th Avenue, Samaritan Counseling Centers
Portland, OR 97212
Fax (503) 281-0937
Mailing address
3862 SE Bentley Street
Hillsboro, OR 97123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1942235262
Penelope Christianson, MDIV PSYD's National Provider Identifier is 1942235262, issued on Jul 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.