Individual
TERRY CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 S MAIN ST, PHOENIX, OR 97535-6631
(541) 535-4133
Mailing address
2803 LARCH AVE, CENTRAL POINT, OR 97502-1268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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