Provider Demographics
NPI:1669692216
Name:KAREN M CHRISTENSEN, M.D., PC
Entity type:Organization
Organization Name:KAREN M CHRISTENSEN, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MESSER
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-334-7798
Mailing Address - Street 1:3670 QUINCY AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1906
Mailing Address - Country:US
Mailing Address - Phone:801-334-7798
Mailing Address - Fax:801-334-4024
Practice Address - Street 1:3670 QUINCY AVE STE 101
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1906
Practice Address - Country:US
Practice Address - Phone:801-334-7798
Practice Address - Fax:801-334-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9218733412052084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5076672220300100OtherREGENCE VALUECARE
UT=========B047222OtherBLUE CROSS FEDERAL
UT=========B047222OtherBLUE CROSS FEDERAL