Healthcare Provider Details

I. General information

NPI: 1215856968
Provider Name (Legal Business Name): CHRISTOPHER ALEXANDER BARRIOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 RATCLIFF DR SE STE 110
SALEM OR
97302-4576
US

IV. Provider business mailing address

427 SANTANDER AVE APT 403
CORAL GABLES FL
33134-6596
US

V. Phone/Fax

Practice location:
  • Phone: 541-224-8110
  • Fax: 800-783-8942
Mailing address:
  • Phone: 786-873-1826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP.AP.70163513-NP
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11049171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: