MEDICARE: DR. DORANNA CHRISTENSON M.D.

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
1	207VH0002X	Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician	41422	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CO41169	OTHER	CO	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942426119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORANNA CHRISTENSON M.D.

Provider Business Mailing Address
First Line	:	8890 N UNION BLVD
Second Line	:	SUITE 175
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7799
Country	:	US
Telephone Number	:	719-282-4206
Fax Number	:	719-282-4209

Provider Business Practice Location Address
First Line	:	8210 SAINT HELENA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4603
Country	:	US
Telephone Number	:	719-314-7779
Fax Number	:	719-282-4209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	01/09/2014

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Directions to “ DR. DORANNA CHRISTENSON M.D.” Practice Location

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