Individual
CHRISTINA LYNN GOODWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 105, PORTLAND, OR 97239-6104
(503) 445-7999
(503) 445-7997
Mailing address
5331 SW MACADAM AVE, SUITE 105, PORTLAND, OR 97239-6104
(503) 445-7999
(503) 445-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3758
OR
Other
Enumeration date
04/25/2007
Last updated
12/13/2012
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