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Contact Information

ANDREA L CHILDRESS, NP
3377 RIVERBEND DRIVE
PEACEHEALTH HOSPITAL MEDICINE
SPRINGFIELD, OR97477-8803
 Phone: 541-222-6389
 Fax: 541-222-6385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANDREA L CHILDRESS · (Female)

NPI Number 1710211768
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/23/2009
Last updated 07/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 201250121NP
  • WA License # AP60097977
  • OR Medicaid 5006125438
Hospital affiliation(s)
  • SACRED HEART MEDICAL CENTER - RIVERBEND - (Acute Care)
    3333 RIVERBEND DRIVE
    SPRINGFIELD, OR 97477
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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