Individual
MS. CHRISTINA MARIE WHITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
655 NW BURNSIDE RD STE 6, GRESHAM, OR 97030-3745
(503) 953-4484
Mailing address
1935 SW CHASTAIN AVE, GRESHAM, OR 97080-9660
(503) 953-4484
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16663
OR
Other
Enumeration date
10/04/2010
Last updated
11/18/2010
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