Individual
JUDITH CHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4805 NE GLISAN ST, PROV HALL 7E-11, PORTLAND, OR 97213-3512
(503) 215-6059
Mailing address
4805 NE GLISAN ST, PROV HALL 7E-11, PORTLAND, OR 97213-3512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4763
OR
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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