Healthcare Provider Details

I. General information

NPI: 1730393570
Provider Name (Legal Business Name): KRISTINA MARCHAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10180 SE SUNNYSIDE RD
CLACKAMAS OR
97015-8970
US

IV. Provider business mailing address

6607 NW MERIDIAN RIDGE DR
PORTLAND OR
97210-6600
US

V. Phone/Fax

Practice location:
  • Phone: 971-278-0158
  • Fax:
Mailing address:
  • Phone: 512-663-8267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD126294
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberMD126294
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: