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Individual

CHRISTOPHER ADAM HANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3050 PARK AVE NE, SALEM, OR 97301-8615
(503) 551-6750
Mailing address
3050 PARK AVE NE, SALEM, OR 97301-8615
(503) 551-6750

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175T00000X
OR
Enumeration date
09/25/2019
Last updated
09/25/2019
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