KELLY MARIE CHRISTNER


Address: 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800
Phone: 5418689303

KELLY MARIE CHRISTNER (NPI# 1154796878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154796878
Entity Type Individual
Full Name KELLY MARIE CHRISTNER
Credential PA-C
Practice Address 3355 Riverbend Dr Ste 300
Springfield
OR 97477-8800
Practice Telephone 5418689303
Practice Fax Number 5418689306
Mailing Telephone 5418689303
Mailing Fax Number 5418689306
Enumeration Date 2015-12-07
Last Update Date 2020-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA179199 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500718575 05

Office Location

Street Address 3355 RIVERBEND DR STE 300
City SPRINGFIELD
State OR
Zip Code 97477-8800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770564015 Duc Minh Vo Surgery 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2005-11-11
1376027698 Clara Stone Physician Assistant 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2018-09-21
1205355740 Heidi Marie Semple Nurse Practitioner 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2017-09-15
1780933952 Gregg Vincent Kosloff Physician Assistant 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2012-09-04
1366732729 Katelyn Ann Clark Surgery 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2011-04-19
1972802148 Cassandra M. Wolanin Nurse Practitioner 3355 Riverbend Dr Ste 300, Springfield, OR 97477 2011-03-27
1942447032 Kevin Andrew Modeste Surgery 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2009-01-12
1366691750 David D Mcallister Surgery 3355 Riverbend Dr Ste 300, Springfield, OR 97477 2008-09-10
1790945418 Loic J. Fabricant Surgery 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2008-06-16
1548462815 Swee H Teh Surgery 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 2007-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508416140 Chase Michael Collings Physician Assistant 960 N 16th St Ste 303, Springfield, OR 97477 2019-09-16
1174079396 Amie Flanagan Occupational Therapy Assistant 3152 Valentine Court, Springfield, OR 97477 2016-08-28
1609229590 Kiernan Davis Snedigar Counselor 175 W B St Ste J, Springfield, OR 97477 2016-07-15
1578914206 Ryan James Dixon Counselor 1923 Centennial Blvd, Springfield, OR 97477 2016-06-23
1902275464 Jovonnie Bashaw Counselor 1157 5th St, Springfield, OR 97477 2015-09-15
1053759506 Norco Inc Durable Medical Equipment & Medical Supplies 302 Shelley St Ste 7&8, Springfield, OR 97477 2013-06-06
1780931634 Justin Morris Pharmacist 1891 Pioneer Parkway East, Springfield, OR 97477 2012-08-09
1194083105 Mersedeh Bahr Hosseini Psychiatry & Neurology 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 2012-04-26
1962769679 Hiro Kawata Internal Medicine 3311 Rierbend Dr., Springfield, OR 97477 2012-04-19
1659662823 Wendy A Teigen Counselor 3995 Marcola Rd., Springfield, OR 97477 2011-04-22
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629592225 Justin William Starling Physician Assistant 1515 Keys Ave, Springfield, IL 62702-2933 2017-07-26
1710435011 Alexander Andersen Physician Assistant 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 2016-09-14
1932538980 Emily Baecher Physician Assistant 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 2013-11-09
1699114421 Lauren M Kendall Physician Assistant 960 N 16th St Ste 108, Springfield, OR 97477-4175 2013-06-14
1750660148 Daniel Francis Reilly Jr. Physician Assistant 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 2011-08-16
1831499383 Christin Wolak Physician Assistant 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 2010-11-01
1811200710 Jessica Anne White Physician Assistant 25 Ridgewood Rd., Esne, Springfield, VT 05156 2010-07-20
1043540669 Kristen Dawn Dodd Physician Assistant 960 N 16th St Ste 207, Springfield, OR 97477-4175 2010-01-04
1831337765 Cynthia R. Krinochkin Physician Assistant 3801 S. National, 5th Floor, Springfield, MO 65807-5210 2009-01-30
1578746079 Jamie Moore Physician Assistant 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 2007-12-07
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Competitor

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City SPRINGFIELD
Zip Code 97477

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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