Cristin Eileen McQueen, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

097006861RN Issued in OR

Practice address

5222 SE 109TH Ave
Portland, OR 97266-3427

Phone

(503) 762-0971

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1952316465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 SE 109TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663427",
            "telephone_number": "503-762-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 SE 109TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663427",
            "telephone_number": "503-762-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "CRISTIN",
        "middle_name": "EILEEN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "097006861RN",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200350111NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raini Spring McPhate
• Elizabeth A McPhee, RN
• Caitlin McPherson, THW
• Seranina Joy McPherson
• Linda L McPike, RN
• Jonathan McQueen
• John Andrew McQueston Sr., MD
• Mason D McQuet
• Katherine McQuiston, QMHP
• Robert Yan McRae, M.D.

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.