Provider Demographics
NPI:1386953115
Name:OLIVER, CHRISTINA LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LEIGH
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6800 SW 105TH AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-5487
Mailing Address - Country:US
Mailing Address - Phone:503-430-1777
Mailing Address - Fax:503-372-5119
Practice Address - Street 1:2400 SW VERMONT ST.
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219
Practice Address - Country:US
Practice Address - Phone:503-452-0915
Practice Address - Fax:503-768-9232
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD159814207R00000X
ORMD1598132083P0901X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine