Individual
CHRISTIE JOACHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
855 BELMONT ST NE, SALEM, OR 97301-1105
(503) 585-6247
(503) 585-3991
Mailing address
855 BELMONT ST NE, SALEM, OR 97301-1105
(503) 585-6247
(503) 585-3991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5217
OR
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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