Individual
CHRISTINE MARY PANAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6217 NE 33RD AVE, PORTLAND, OR 97211-7311
(503) 784-5843
Mailing address
1920 S MANITOU AVE, BOISE, ID 83706-4148
(503) 784-5843
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
5157
ID
Other
Enumeration date
08/05/2007
Last updated
12/26/2024
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