Individual
MISS CHRISTINE BARBARA PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 TROY CT, WEST LINN, OR 97068-7306
(503) 723-0104
(503) 723-0104
Mailing address
2551 TROY CT, WEST LINN, OR 97068-7306
(503) 723-0104
(503) 723-0104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
A 28049
OR
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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