Individual
CHRISTINE SUSANNE MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3640 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3738
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA153130
OR
363AM0700X
Medical Physician Assistant
AMD-330
HI
Other
Enumeration date
12/17/2007
Last updated
02/16/2021
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