Provider Demographics
NPI:1265458905
Name:SILVA, CHRISTOPHER MCCARTHY (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MCCARTHY
Last Name:SILVA
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13705 NE 43RD CT
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-2640
Mailing Address - Country:US
Mailing Address - Phone:207-756-0654
Mailing Address - Fax:
Practice Address - Street 1:345 MONMOUTH AVE N
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-1329
Practice Address - Country:US
Practice Address - Phone:503-838-8313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER042339363LF0000X
NH0473272303363LF0000X
OR201250120NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEAA19303OtherHARVARD PILGRIM/MEDNET
ME047573OtherANTHEM BLUE CROSS/SHIELD
ME010544015Medicaid
ME047573OtherANTHEM BLUE CROSS/SHIELD
MESI NP4664Medicare ID - Type Unspecified