Individual
CHRISTINE SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1960 NW 167TH PL, STE 200, BEAVERTON, OR 97006-4803
(503) 672-6080
(503) 672-6081
Mailing address
1960 NW 167TH PL, STE 200, BEAVERTON, OR 97006-4803
(503) 672-6080
(503) 672-6081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60582
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327670
WA L&I
OR
05
—
500671681
—
OR
Enumeration date
05/21/2014
Last updated
01/18/2017
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