Individual
CHRISTINA BELLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1748 NW FAIRVIEW DR # A, GRESHAM, OR 97030-3842
(503) 492-3910
Mailing address
1748 NW FAIRVIEW DR # A, GRESHAM, OR 97030-3842
(503) 492-3910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22376
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22376
LMT
OR
Enumeration date
08/30/2019
Last updated
08/30/2019
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