Rivelli, Christie Marie

Rivelli, Christie Marie is an individual health care provider with primary practice located at 2158 Exchange St Suite 304, Astoria OR 97103-3316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rivelli, Christie Marie can be contacted via phone (503) 325-8315.

Contact Information

Primary practice address
2158 Exchange St Suite 304 Astoria OR 97103-3316
Fax: (503) 325-8602
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201250011NP Oregon

Profile Details

NPI number 1114231420
LBN Legal business name Rivelli, Christie Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2010
Last updated Feb 1st, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114231420 NPPES
Oregon MEDICAID 231893

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