Individual
CRISTIN ANGELA RETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1040 NW 22ND AVE, STE 500, PORTLAND, OR 97210-3057
(503) 227-5050
Mailing address
1040 NW 22ND AVE, STE 500, PORTLAND, OR 97210-3057
(503) 227-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10952
AZ
363A00000X
Physician Assistant
Primary
PA00903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235275
—
OR
Enumeration date
10/27/2006
Last updated
03/20/2025
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