| Organization Name: | CHRISTIECARE |
| NPI Number: | 1881637809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEIBELE THERESA (FINANCE AND ADMINISTRATION DIRECTOR) |
| Mailing Address: | 2507 Christie Dr Marylhurst |
| State: | OR US |
| Postal Code: | 97036 |
| Phone Number: | 5036353416 |
| Fax Number: | 5036976932 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |