Provider Demographics
NPI:1902988066
Name:RESSLER, CHRISTINE ANGELA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANGELA
Last Name:RESSLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16817
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97292-0817
Mailing Address - Country:US
Mailing Address - Phone:503-253-4700
Mailing Address - Fax:503-253-6597
Practice Address - Street 1:215 SE 102ND AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216
Practice Address - Country:US
Practice Address - Phone:503-253-4700
Practice Address - Fax:503-253-6597
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR068191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice