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Individual

DR. CHRISTINE RENE GEBHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5935 SE DIVISION ST, PORTLAND, OR 97206-1470
(503) 777-5546
(971) 255-1764
Mailing address
PO BOX 22009, MILWAUKIE, OR 97269-2009
(503) 558-7372
(503) 344-5140

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2571T
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276656
OR
Enumeration date
12/27/2005
Last updated
02/20/2021
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