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Individual

MR. CHRISTOPHER WAYNE GRENINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
2700 SIMPSON AVE STE 1010, ABERDEEN, WA 98520-4335
(360) 612-0012
(360) 352-0670
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0187

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61485099
WA
175T00000X
Peer Specialist
CG61485099
WA
225700000X
Massage Therapist
MA 60240938
WA

Other

Enumeration date
11/15/2012
Last updated
04/11/2024
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