Provider Demographics
NPI:1720420615
Name:MCBRIDE, CHRISTINA MARIE
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:MCBRIDE
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 1:27727 HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:BLODGETT
Mailing Address - State:OR
Mailing Address - Zip Code:97326-9712
Mailing Address - Country:US
Mailing Address - Phone:541-602-0969
Mailing Address - Fax:
Practice Address - Street 1:27727 HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:BLODGETT
Practice Address - State:OR
Practice Address - Zip Code:97326-9712
Practice Address - Country:US
Practice Address - Phone:541-602-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula