Individual
CHRISTINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2100 NE BROADWAY ST, SUITE 3B, PORTLAND, OR 97232-1569
(503) 287-7733
Mailing address
4741 NE 18TH AVE, PORTLAND, OR 97211-5719
(503) 830-8447
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11761
OR
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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