Individual
CHRISTIE ANN FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9268 SE CLINTON ST, PORTLAND, OR 97266-1456
(503) 872-0480
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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