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CHRISTI A VAN DEUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
315 W BROADWAY STE 100, EUGENE, OR 97401-3081
(541) 206-2271
(541) 470-8729
Mailing address
4031 DOUGLAS DR, SPRINGFIELD, OR 97478-5588
(206) 755-9195

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64426
WA
225100000X
Physical Therapist
PT0007779
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039585
LABOR AND INDUSTRIES#
WA
05
8337354
WA
01
P00126564
RAILROAD MC#
WA
01
US2297155
AETNA SPECIALIST PIN
WA
01
VA2194
BLUE SHIELD #
WA
Enumeration date
01/18/2007
Last updated
03/28/2024
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