Individual
MR. CHRISTOPHER PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5010 NE 33RD AVENUE, PORTLAND, OR 97211
(503) 475-9326
Mailing address
743 NE JESSUP ST., PORTLAND, OR 97211
(503) 475-9326
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11570
OR
Other
Enumeration date
06/25/2009
Last updated
08/18/2009
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