Individual
CHRISTINA NOEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8317 SE 13TH AVE, PORTLAND, OR 97202-7101
(917) 974-6178
Mailing address
1564 SE CLATSOP ST APT A, PORTLAND, OR 97202-7228
(917) 974-6178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81039
OR
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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