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NPI Code Detail

MEDICARE: CHRISTINA HARWELL HALTER FNP, CNM

MEDICARE: CHRISTINA HARWELL HALTER FNP, CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201909359NP-PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201909359NP-PPOTHEROROREGON LICENSE

General Provider Information

NPI Number : 1134568157
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA HARWELL HALTER FNP, CNM
Provider Business Mailing Address
First Line : 685 SE 3RD ST
Second Line :
City : BEND
State : OR
Zip : 97702-1754
Country : US
Telephone Number : 541-668-9070
Fax Number :
Provider Business Practice Location Address
First Line : 685 SE 3RD ST
Second Line :
City : BEND
State : OR
Zip : 97702-1754
Country : US
Telephone Number : 541-668-9070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 04/29/2025

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