Provider Demographics
NPI:1639894553
Name:PALENSHUS, CHRISET A
Entity Type:Individual
Prefix:
First Name:CHRISET
Middle Name:A
Last Name:PALENSHUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 W UMPQUA ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-2948
Mailing Address - Country:US
Mailing Address - Phone:541-236-3288
Mailing Address - Fax:
Practice Address - Street 1:458 W UMPQUA ST
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2948
Practice Address - Country:US
Practice Address - Phone:541-236-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program