Provider Demographics
NPI:1245379650
Name:MCCAMBRIDGE, CHRISTINE LYNN (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LYNN
Last Name:MCCAMBRIDGE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 NE HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-3240
Mailing Address - Country:US
Mailing Address - Phone:541-921-3584
Mailing Address - Fax:541-614-1291
Practice Address - Street 1:1140 NE HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-3240
Practice Address - Country:US
Practice Address - Phone:541-921-3584
Practice Address - Fax:541-614-1291
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201602540NP-PP363LP0808X
NC0050-03742363LF0000X
NC5003742363LP0808X
NC175068364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004070Medicaid
NC2593248OtherMEDICARE NUMBER
OR500714310Medicaid
NC6113066Medicaid
NC175068OtherRN