Provider Demographics
NPI:1598160970
Name:DR. CHRISTINA LION, PHD INC.
Entity Type:Organization
Organization Name:DR. CHRISTINA LION, PHD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LION
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:971-801-7330
Mailing Address - Street 1:4660 NE BELKNAP CT
Mailing Address - Street 2:SUITE # 101M
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6467
Mailing Address - Country:US
Mailing Address - Phone:971-801-7330
Mailing Address - Fax:
Practice Address - Street 1:4660 NE BELKNAP CT
Practice Address - Street 2:SUITE # 101M
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6467
Practice Address - Country:US
Practice Address - Phone:971-801-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2385103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500675225Medicaid