Provider Demographics
NPI:1134568157
Name:HALTER, CHRISTINA HARWELL (FNP, CNM)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:HARWELL
Last Name:HALTER
Suffix:
Gender:
Credentials:FNP, CNM
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:LOUISE
Other - Last Name:HARWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM,RN
Mailing Address - Street 1:685 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1754
Mailing Address - Country:US
Mailing Address - Phone:541-668-9070
Mailing Address - Fax:
Practice Address - Street 1:685 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1754
Practice Address - Country:US
Practice Address - Phone:541-668-9070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201909359NP-PP363LF0000X
GARN218149367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR201909359NP-PPOtherOREGON LICENSE