Individual
CHRISTINE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23925 225TH WAY SE, SUITE B, MAPLE VALLEY, WA 98038-5233
(425) 433-0760
(425) 433-0733
Mailing address
12932 SE KENT KANGLEY RD, #438, KENT, WA 98030-7940
(425) 392-1814
(425) 392-1813
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216782
DEPT OF L&I
WA
Enumeration date
02/21/2007
Last updated
07/08/2007
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