Provider Demographics
NPI:1588780282
Name:KENDRICK, CHRISTINA LEE BRADY
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEE BRADY
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 W 11TH AVE
Mailing Address - Street 2:STE A
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3711
Mailing Address - Country:US
Mailing Address - Phone:541-868-0661
Mailing Address - Fax:
Practice Address - Street 1:1675 W 11TH AVE
Practice Address - Street 2:STE A
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3711
Practice Address - Country:US
Practice Address - Phone:541-868-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker