Provider Demographics
NPI:1366998254
Name:SCHUSTER, CRESSA ELIZABETH (DPT)
Entity type:Individual
Prefix:MRS
First Name:CRESSA
Middle Name:ELIZABETH
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:CRESSA
Other - Middle Name:ELIZABETH
Other - Last Name:DESHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:830 NE 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2212
Mailing Address - Country:US
Mailing Address - Phone:503-216-8545
Mailing Address - Fax:503-215-2478
Practice Address - Street 1:830 NE 47TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2212
Practice Address - Country:US
Practice Address - Phone:503-216-8545
Practice Address - Fax:503-215-2478
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR054552251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics