Individual
CHRISTINE MARIE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14511 WESTLAKE DR, SUITE 100, LAKE OSWEGO, OR 97035-7783
(503) 598-8099
(503) 598-3980
Mailing address
14511 WESTLAKE DR, SUITE 100, LAKE OSWEGO, OR 97035-7783
(503) 598-8099
(503) 598-3980
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
6186
OR
Other
Enumeration date
05/03/2015
Last updated
10/29/2019
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