Provider Demographics
NPI:1306971049
Name:CHRISTENSON, ELIZABETH CHEN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CHEN
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:934 MAUNAWILI CIR
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4619
Mailing Address - Country:US
Mailing Address - Phone:808-261-7801
Mailing Address - Fax:808-261-7725
Practice Address - Street 1:934 MAUNAWILI CIR
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4619
Practice Address - Country:US
Practice Address - Phone:808-261-7801
Practice Address - Fax:808-261-7725
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-12322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine