Individual
CHRISTINE MARIE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2191 NW 2ND ST BLDG 4, MCMINNVILLE, OR 97128-9106
(503) 434-9594
(503) 434-6808
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05241
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500749452
—
OR
Enumeration date
08/03/2018
Last updated
09/20/2018
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