Individual
CHRISTELLE SERRA-VAN BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10330 SE 32ND AVE, STE 205, MILWAUKIE, OR 97222-6587
(503) 513-8950
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO197534
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500750480
—
OR
Enumeration date
03/22/2015
Last updated
03/25/2021
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