CHRISTINE LYNN MCCAMBRIDGE NPI 1619570322

NPI Information

  • NPI: 1619570322
  • Provider Name: CHRISTINE LYNN MCCAMBRIDGE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: CHANGING TIDES PSYCHIATRY
  • Address: 2600 NE HIGHWAY 101 STE 200
    LINCOLN CITY, OR
    ZIP 97367
  • Phone: (541) 921-3584

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NPI Details

CHRISTINE LYNN MCCAMBRIDGE is a psychiatric/mental health nurse practitioner in Lincoln City, OR. CHRISTINE LYNN MCCAMBRIDGE NPI is 1619570322. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Changing Tides Psychiatry.

The provider's business location address is:

2600 NE HIGHWAY 101 STE 200
LINCOLN CITY, OR
ZIP 97367-464
Phone: (541) 921-3584
Fax: (541) 614-1291

The provider's authorized official is Christine Mccambridge .
The authorized official title is Owner and has the following contact phone number (419) 213-5845.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 9/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2207Q00000XFamily MedicineNo
32084A0401XPsychiatry & NeurologyAddiction MedicineNo
4363LF0000XNurse PractitionerFamilyNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500714310MEDICAIDOREGON
2500790528MEDICAIDOREGON
3500790454MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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