Individual
MR. CHRISTOPHER ANDREW PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1717 CENTENNIAL BLVD, SUITE 6, SPRINGFIELD, OR 97477-3378
(541) 988-5883
Mailing address
1717 CENTENNIAL BLVD, SUITE 6, SPRINGFIELD, OR 97477-3378
(541) 988-5883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
981837
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041645
—
OR
Enumeration date
02/26/2007
Last updated
02/02/2016
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