Provider Demographics
NPI:1518054097
Name:AMSDEN, CHRISTOPHER F (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:F
Last Name:AMSDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1574 COBURG RD # 265
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4802
Mailing Address - Country:US
Mailing Address - Phone:541-271-6330
Mailing Address - Fax:541-271-9338
Practice Address - Street 1:94220 4TH ST
Practice Address - Street 2:
Practice Address - City:GOLD BEACH
Practice Address - State:OR
Practice Address - Zip Code:97444-7756
Practice Address - Country:US
Practice Address - Phone:541-247-3000
Practice Address - Fax:541-247-3101
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR165737208VP0014X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1487696985OtherCURRY HEALTH DISTRICT NPI
OR500668231Medicaid
OR930937095OtherCURRY HEALTH DISTRICT TAX ID
OR1487696985OtherCURRY HEALTH DISTRICT NPI
OR201596824OtherRUSH SURGERY CENTER TAX ID
ORR178769Medicare Oscar/Certification