Koonce, Christine Marie

Koonce, Christine Marie is an individual health care provider with primary practice located at 13007 Ne Glisan St , Portland OR 97230-2545. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Koonce, Christine Marie can be contacted via phone (503) 215-0063.

Contact Information

Primary practice address
13007 Ne Glisan St Portland OR 97230-2545
Phone: (503) 215-0063
Fax: (503) 215-7864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 080045311RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 080045311RN Oregon

Profile Details

NPI number 1134274400
LBN Legal business name Koonce, Christine Marie
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Sep 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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