Individual
MS. CHRISTINA MARIE DEMULLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8855 SW HOLLY LN STE 104, WILSONVILLE, OR 97070-8792
(503) 682-0324
Mailing address
2015 N WALNUT ST, CANBY, OR 97013-2579
(503) 682-0324
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
BAP-E-10157523
OR
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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