Christina Dynamite, RN is a
Counselor based in Portland, Oregon. Christina Dynamite is licensed to practice in Oregon (license number 201601943RN) and her current practice location is
33 Nw Broadway, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 228-7134.
NPI number for Christina Dynamite is 1285176586 and her current mailing address is 232 Nw 6th Ave, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285176586.
Provider's Profile
Full Name | Christina Dynamite |
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Gender | Female |
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Speciality | Counselor |
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Location | 33 Nw Broadway, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285176586
- Provider Enumeration Date: 11/17/2016
- Last Update Date: 08/22/2018
Medical Identifiers
Medical identifiers for Christina Dynamite such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285176586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 201601943RN (Oregon) | Secondary |
101Y00000X | Counselor | 201601943RN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Dynamite is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christina Dynamite, RN 232 Nw 6th Ave, Portland, OR 97209-3609 Ph: (971) 271-6307 | Christina Dynamite, RN 33 Nw Broadway, Portland, OR 97209 Ph: (503) 228-7134 |
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