Look up the most recent NPI and PECOS records

Christie Kesserwani

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, Uhn 80, Portland, OR 97239

PECOS Enrollment

Based on the most recent information from CMS, provider Christie Kesserwani does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1942655295
Provider Type
Individual
Full Name
Kesserwani, Christie
Gender
Female

Sole Proprietor
No
Enumeration Date
4/24/2016
Last Updated
8/17/2023

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Uhn 80, Portland, OR 97239

(503) 494-0065

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, Uhn 80, Portland, OR 97239

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License DO204293 Oregon
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 007418 Arizona
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Christie Kesserwani

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Allahyar, Arrash

Fang, Yunjing

Bajrovic, Emina

Usher, Craigan Todd

Betlinski, Jonathan Paul

Thoits, Joseph Ryan

Dunaway, Kristen Marie

Blazes, Christopher Kynrint

Fireman, Marian

Beckman, Morgyn