Christiansen, Nicole Didenti

Christiansen, Nicole Didenti is an individual health care provider with primary practice located at 2250 Nw Flanders St #306, Portland OR 97210-3443. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Christiansen, Nicole Didenti can be contacted via phone (503) 226-0558.

Contact Information

Primary practice address
2250 Nw Flanders St #306 Portland OR 97210-3443
Phone: (503) 226-0558
Fax: (503) 276-1284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD162095 Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD162095 Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 233158 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD162095 Oregon

Profile Details

NPI number 1295934750
LBN Legal business name Christiansen, Nicole Didenti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2007
Last updated Oct 26th, 2023 - about 2 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 1295934750 NPPES
Oregon MEDICAID 500655795
Oregon MEDICAID 500655896

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