Most Relevant Information
Provider Data
| NPI Number: | 1003512443 |
| Provider Name: | CHRISTINE MARIE DOUGLAS PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 0033184 |
Most Important Dates
| Enumeration Date: | 02/07/2023 |
| Last Updated: | 07/30/2024 |
Provider Practice Location
535 SE WASHINGTON ST
HILLSBORO
OR
971234142
Practice Location Phone/Fax
| Phone: | 5037556703 |
| Fax: | 5037556704 |
Provider Mailing Location
7426 N LA CHOLLA BLVD
TUCSON
AZ
857412306
Provider Mailing Phone/Fax
| Phone: | 5037556703 |
| Fax: | 5037556704 |