Individual
CHRISTOPHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 746-5089
Mailing address
14924 SW SCHOLLS FERRY RD APT F301, BEAVERTON, OR 97007-8325
(503) 746-5089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08948
OR
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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