Individual
MR. CHRISTOPHER ULLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222-4628
(206) 824-0600
Mailing address
4529 44TH AVE SW, APT 301, SEATTLE, WA 98116-4907
(301) 305-2690
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160661758
WA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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