Provider Demographics
NPI:1952733032
Name:FOX, CHRISTOPHER BERRYHILL (ANP)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BERRYHILL
Last Name:FOX
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD # L475
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-8562
Mailing Address - Fax:503-494-0979
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:L475
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-8562
Practice Address - Fax:503-494-0979
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23358363LA2200X
WAAP61354272363LA2200X
OR201600949NP-PP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health