Provider Demographics
NPI:1710257308
Name:TSELNIK, CHRISTINA FIGUEROA (RDH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:FIGUEROA
Last Name:TSELNIK
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:TSELNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:917 LLOYD CTR
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1239
Mailing Address - Country:US
Mailing Address - Phone:503-467-5230
Mailing Address - Fax:
Practice Address - Street 1:917 LLOYD CTR
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1239
Practice Address - Country:US
Practice Address - Phone:503-467-5230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH4491124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist