Healthcare Provider Details

I. General information

NPI: 1033021050
Provider Name (Legal Business Name): CHRISTINA MARIE UNTEANU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 SW HAMPTON ST
TIGARD OR
97223-8314
US

IV. Provider business mailing address

1381 NE CARLABY WAY APT 111
HILLSBORO OR
97124-3951
US

V. Phone/Fax

Practice location:
  • Phone: 503-684-9274
  • Fax:
Mailing address:
  • Phone: 503-926-2987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number113843
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: