Individual
MR. CHRISTOPHER JASON LIEUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
114 GILL COLISEUM, CORVALLIS, OR 97331-8547
(541) 737-0935
(541) 737-0864
Mailing address
1619 SW 49TH ST, APT 42, CORVALLIS, OR 97333-3006
(650) 302-2015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
04/23/2010
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