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Contact Information

CHRISTOPHER CONRADY, CPNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-494-8744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHRISTOPHER CONRADY · (Male)

NPI Number 1790759991
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 02/14/2006
Last updated 09/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209005250
  • OR License # 201150022NP
  • IL Other 07215036 BCBS
  • IL Other IL01EF JOHN DEERE
Hospital affiliation(s) Not Available
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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