Physician Compare National (NPI:1730393570)

HEALTHCARE PROVIDER: KRISTINA MARCHAND M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730393570
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254487655
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191126003252
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARCHAND
	Individual professional last name
Provider First Name	KRISTINA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PROVIDENCE HEALTH AND SERVICES OREGON
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0648183608
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1094
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	315 SE STONEMILL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	102 PROVIDENCE MEDICAL GROUP MILL PLAIN
	Group Practice or individual's line 2 address
City	VANCOUVER
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	986846787
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3608162700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380061
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE PORTLAND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y