Healthcare Provider Details

I. General information

NPI: 1245379650
Provider Name (Legal Business Name): CHRISTINE LYNN MCCAMBRIDGE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 NE HIGHWAY 101 STE 200
LINCOLN CITY OR
97367-4464
US

IV. Provider business mailing address

2600 NE HIGHWAY 101 STE 200
LINCOLN CITY OR
97367-4464
US

V. Phone/Fax

Practice location:
  • Phone: 541-921-3584
  • Fax: 541-614-1291
Mailing address:
  • Phone: 541-921-3584
  • Fax: 541-614-1291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201602540NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: