Healthcare Provider Details

I. General information

NPI: 1124933551
Provider Name (Legal Business Name): TEANNA RAIN CHRISTENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 SW FIR LOOP STE 250
TIGARD OR
97223-8077
US

IV. Provider business mailing address

7180 SW FIR LOOP STE 250
TIGARD OR
97223-8077
US

V. Phone/Fax

Practice location:
  • Phone: 503-341-7181
  • Fax:
Mailing address:
  • Phone: 435-315-6624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29723
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: