Individual
CHRISTINA MARIE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9645
Mailing address
3181 SW SAM JACKSON ROAD, PORTLAND, OR 97239
(503) 494-7764
(503) 494-6467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA150404
OR
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/16/2009
Last updated
12/21/2020
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