Provider Demographics
NPI:1699662841
Name:CHRISTIANSON, DEANNA ALICE (MA, NCC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:ALICE
Last Name:CHRISTIANSON
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11325 SW BASSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-4213
Mailing Address - Country:US
Mailing Address - Phone:503-349-8220
Mailing Address - Fax:
Practice Address - Street 1:11325 SW BASSWOOD CT
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-4213
Practice Address - Country:US
Practice Address - Phone:503-349-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR8658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional