Healthcare Provider Details

I. General information

NPI: 1639593874
Provider Name (Legal Business Name): CHRISTINA FARLEIGH MSN, FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 SW CROWELL WAY STE 100
BEND OR
97702-1178
US

IV. Provider business mailing address

132 SW CROWELL WAY STE 100
BEND OR
97702-1178
US

V. Phone/Fax

Practice location:
  • Phone: 541-410-6198
  • Fax: 305-703-9942
Mailing address:
  • Phone: 541-410-6198
  • Fax: 305-703-9942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201400759NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: