Individual
DR. CARL S CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10535 NE GLISAN ST # 301, PORTLAND, OR 97220-4077
(503) 444-2824
(503) 444-2823
Mailing address
14201 NE 20TH AVE, SUITE 2204, VANCOUVER, WA 98686-6410
(360) 571-8181
(360) 573-4029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8401
OR
Other
Enumeration date
06/04/2006
Last updated
01/21/2015
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