Individual
MS. CHRISTINA EVANS GAGOSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
4900 SW GRIFFITH DRIVE, SUITE 157, BEAVERTON, OR 97005
(503) 517-8555
(503) 517-8556
Mailing address
P.O. BOX 623, GLADSTONE, OR 97027
(503) 517-8555
(503) 517-8556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
381117
OR
Other
Enumeration date
05/02/2017
Last updated
06/29/2021
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