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NPI Code Detail

MEDICARE: ANDREW DAVID CHRISTENSON

MEDICARE:   ANDREW DAVID CHRISTENSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianOR
2390200000XStudent in an Organized Health Care Education/Training ProgramOR

General Provider Information

NPI Number : 1194663492
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW DAVID CHRISTENSON
Provider Business Mailing Address
First Line : 6655 S CIMARRON RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2181
Country : US
Telephone Number : 702-233-7481
Fax Number :
Provider Business Practice Location Address
First Line : 3147 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-494-8311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 04/06/2026

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Directions to “ ANDREW DAVID CHRISTENSON ” Practice Location

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