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1417967167
CHRISTINA DODGE
PORTLAND, OR
NPI
1417967167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 091000125n6)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
-- CHRISTINA DODGE ANP, PMHNP
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
-- CHRISTINA DODGE ANP, PMHNP
2020 SW 71ST AVE
PORTLAND, OR 97225-3706
Phone number: 503-297-2326
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