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Individual

CHRISTOPHER EUGENE FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
771 W STEWART AVE, STE 103, MEDFORD, OR 97501-4189
(541) 500-8029
(541) 622-8337
Mailing address
771 W STEWART AVE, STE 103, MEDFORD, OR 97501-4189
(541) 500-8029
(541) 622-8337

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4611
OR
225100000X
Physical Therapist
PTH2870
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
298053
OR
Enumeration date
11/16/2005
Last updated
02/13/2017
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