Provider Demographics
NPI:1225858236
Name:REYES-FIMBRES, CHRISTINA (AUD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:REYES-FIMBRES
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9280 SE SUNNYBROOK BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-9353
Mailing Address - Country:US
Mailing Address - Phone:503-233-5548
Mailing Address - Fax:
Practice Address - Street 1:9280 SE SUNNYBROOK BLVD STE 300
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9353
Practice Address - Country:US
Practice Address - Phone:503-233-5548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD61602227231H00000X
OR31125231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist