Provider Demographics
NPI:1851076236
Name:WEATHERS, CHRISTINA (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WEATHERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23125 E WINNIE RD
Mailing Address - Street 2:
Mailing Address - City:RHODODENDRON
Mailing Address - State:OR
Mailing Address - Zip Code:97049-8867
Mailing Address - Country:US
Mailing Address - Phone:503-932-4837
Mailing Address - Fax:
Practice Address - Street 1:23125 E WINNIE RD
Practice Address - Street 2:
Practice Address - City:RHODODENDRON
Practice Address - State:OR
Practice Address - Zip Code:97049-8867
Practice Address - Country:US
Practice Address - Phone:503-932-4837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program