Healthcare Provider Details

I. General information

NPI: 1487014296
Provider Name (Legal Business Name): CHRISTINA FUCHS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 SE WASHINGTON ST
HILLSBORO OR
97123-4142
US

IV. Provider business mailing address

142627 COUNTY ROAD L
MERRILL WI
54452-5833
US

V. Phone/Fax

Practice location:
  • Phone: 503-755-6703
  • Fax: 503-755-6704
Mailing address:
  • Phone: 715-679-0540
  • Fax: 262-260-9109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10045692
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number6845-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: