Active NPI
Rebecca Lou Christensen, ANP
- Adult Health Nurse Practitioner
- Clackamas, OR
National Provider Identifier
1962594341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- OR 076036552N3
- Practice address
- 10180 SE Sunnyside Rd
Kaiser Sunnyside Medical Office
Clackamas, OR 97015-9764 - Phone
- (503) 652-2880
- Fax
- (503) 571-2666
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | OR 076036552N3 | OR | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | WA AP30004881 | WA |
Addresses
Primary practice location
10180 SE Sunnyside Rd
Kaiser Sunnyside Medical Office
Clackamas, OR 97015-9764
Mailing address
10180 SE Sunnyside Rd
Kasier Sunnyside Medical Office
Clackamas, OR 97015-9764
Phone (503) 652-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR 076036552N3 | OR | MD | Adult Health Nurse Practitioner |
| WA AP30004881 | WA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1962594341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE RD",
"address_2": "KASIER SUNNYSIDE MEDICAL OFFICE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159764",
"telephone_number": "503-652-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE RD",
"address_2": "KAISER SUNNYSIDE MEDICAL OFFICE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159764",
"telephone_number": "503-652-2880",
"fax_number": "503-571-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "REBECCA",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "OR 076036552N3",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "WA AP30004881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.