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Individual

JANIS CHRISTIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7511 SE HENRY ST, PORTLAND, OR 97206-6445
(503) 238-0769
Mailing address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 228-7134
(503) 442-2595

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
372600000X
Adult Companion

Other

Enumeration date
09/11/2007
Last updated
04/16/2008
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