Provider Demographics
NPI:1528578960
Name:CHRISTENSEN, MEG CHRIST (ND)
Entity Type:Individual
Prefix:
First Name:MEG
Middle Name:CHRIST
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:D
Other - Last Name:CHRIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:2115 NE HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1522
Mailing Address - Country:US
Mailing Address - Phone:971-350-9139
Mailing Address - Fax:
Practice Address - Street 1:2115 NE HALSEY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1522
Practice Address - Country:US
Practice Address - Phone:971-350-9139
Practice Address - Fax:503-468-5624
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANATU.NT.61257284175F00000X
OR4135175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath