Individual
CHRISTINE W. VANWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8615
(503) 513-8195
Mailing address
10285 SE 132ND AVE, HAPPY VALLEY, OR 97236-6159
(503) 761-8832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1771
OR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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