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Individual

MR. K. CHRISTOPHER HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 643-7565
(503) 626-4418
Mailing address
3217 NE 31ST AVE, PORTLAND, OR 97212-2618
(503) 288-1164

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OR PA 00331
OR

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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