Individual
MS. CRISTIANNE PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
426 SW STARK, 9TH FLOOR, PORTLAND, OR 97204
(503) 988-3674
Mailing address
426 SW STARK, FLOOR 9, PORTLAND, OR 97204
(503) 988-3674
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4696
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H4696
RDH
OR
Enumeration date
05/10/2011
Last updated
05/10/2011
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