Provider Demographics
NPI:1760596837
Name:SCHEUERMAN, CHRISTA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:
Last Name:SCHEUERMAN
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 1:622 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:VERNONIA
Mailing Address - State:OR
Mailing Address - Zip Code:97064-1262
Mailing Address - Country:US
Mailing Address - Phone:503-429-0880
Mailing Address - Fax:503-429-0881
Practice Address - Street 1:622 BRIDGE ST
Practice Address - Street 2:VERNONIA DENTAL
Practice Address - City:VERNONIA
Practice Address - State:OR
Practice Address - Zip Code:97064-1262
Practice Address - Country:US
Practice Address - Phone:503-429-0880
Practice Address - Fax:503-429-0881
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD8279122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist