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General NPI Number Information
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NPI Number | 1639710783
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Entity Type | Individual
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Provider Name | CHRISTINE ELIZABETH O'CONNOR DNP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 6336 SE 61ST AVE
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City | PORTLAND
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State | OR
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Zip | 97206-6718
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Country | US
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Telephone | 406-868-5531
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Fax |
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Provider Business Mailing Address
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Address Line | 6648 SE 45TH AVE
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City | PORTLAND
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State | OR
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Zip | 97206-7718
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Country | US
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Telephone | 406-868-5531
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 263653
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License Number State | MT
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