Individual
CHRISTA K ANTRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6472
(503) 540-6480
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6472
(503) 540-6480
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4994
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272630
—
OR
Enumeration date
02/20/2008
Last updated
04/24/2019
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