Provider Demographics
NPI:1427938489
Name:WYLDE, CHRISTIE (ND)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:WYLDE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7226 N WESTANNA AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-5168
Mailing Address - Country:US
Mailing Address - Phone:317-400-3114
Mailing Address - Fax:
Practice Address - Street 1:7226 N WESTANNA AVE UNIT A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-5168
Practice Address - Country:US
Practice Address - Phone:317-400-3114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath