Christina T Derstine
MD | Pediatrics | Female
Christina T Derstine, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Christina T Derstine is
3181 Sw Sam Jackson Park Rd, Mail: Cdrc- P, Portland, Oregon - 97239-3011. She can be contacted on phone at
503-494-8311.
Christina T Derstine is a sole proprietor of her business.
NPI number (Unique professional ID) for Christina T Derstine is
1962613133 which was assigned by NPPES on 26 May, 2007 and it was last updated on 04 Feb, 2022.
Christina T Derstine license number is
MD29122 for Pediatrics (208000000X) in Oregon.
Christina T Derstine is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Christina T Derstine basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Christina T Derstine |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Christina T Derstine address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3181 Sw Sam Jackson Park Rd, Mail: Cdrc- P
Portland, OR, 97239-3011
United States |
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| Phone Number : | 503-494-8311 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1962613133 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 May, 2007 |
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| Last Updated On : | 04 Feb, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christina T Derstine are as mentioned. Primary taxonomy code for Christina T Derstine, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD29122 | OR |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 3550 N INTERSTATE AVE,
PORTLAND, OR, 97227-1196
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3181 Sw Sam Jackson Park Rd, Mail: Cdrc-p
Portland, OR, 97239-3011
United States |
|---|
Business Location:
Patients can refer following map for directions to
Christina T Derstine practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.