Individual
MS. CHRISTINE K BOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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