Active NPI
Cristianne Paulsen, RDH
- Dental Hygienist
- Portland, OR
National Provider Identifier
1407148398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H4696
- Practice address
- 426 SW Stark, 9TH Floor
Portland, OR 97204 - Phone
- (503) 988-3674
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H4696 | OR | Primary |
Addresses
Primary practice location
426 SW Stark, 9TH Floor
Portland, OR 97204
Mailing address
426 SW Stark, Floor 9
Portland, OR 97204
Phone (503) 988-3674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H4696 | Other | OR | RDH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4696 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1407148398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 SW STARK, FLOOR 9",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97204",
"telephone_number": "503-988-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 SW STARK, 9TH FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97204",
"telephone_number": "503-988-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "CRISTIANNE",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H4696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDH",
"identifier": "H4696",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.