Provider Demographics
NPI:1902139637
Name:DORANNA CHRISTENSON MD PC
Entity Type:Organization
Organization Name:DORANNA CHRISTENSON MD PC
Other - Org Name:WOMAN-TO-WOMAN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DORANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-282-4206
Mailing Address - Street 1:8210 SAINT HELENA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4603
Mailing Address - Country:US
Mailing Address - Phone:719-522-0321
Mailing Address - Fax:719-522-0321
Practice Address - Street 1:8890 N UNION BLVD
Practice Address - Street 2:SUITE 175-180
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7799
Practice Address - Country:US
Practice Address - Phone:719-282-4206
Practice Address - Fax:719-282-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41422207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO41422OtherSTATE LICENSE