Individual
CHRISTINA T DERSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL: CDRC- P, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL: CDRC-P, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD29122
OR
Other
Enumeration date
05/26/2007
Last updated
02/04/2022
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