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NPI Code Detail

MEDICARE: CHRISTINA KAVEHRAD MA

MEDICARE: CHRISTINA KAVEHRAD MA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1467380774
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA KAVEHRAD MA
Provider Business Mailing Address
First Line : 32 NE 11TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-3001
Country : US
Telephone Number : 503-542-7635
Fax Number :
Provider Business Practice Location Address
First Line : 32 NE 11TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-3001
Country : US
Telephone Number : 503-542-7635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ CHRISTINA KAVEHRAD MA” Practice Location

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