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1184097180
CHRISTOPHER MARTIN
WILSONVILLE, OR
NPI
1184097180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08948)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
CHRISTOPHER MARTIN PTA
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number: 503-746-5089
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Mailing Address
CHRISTOPHER MARTIN PTA
14924 SW SCHOLLS FERRY RD APT F301
BEAVERTON, OR 97007-8325
Phone number: 503-746-5089
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