CHRISTIAN LATHAM

PORTLAND, OR
NPI1467895243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA170287)
Enumeration Date2013-04-11
Last Update Date2015-10-22
Business Address
Mr. CHRISTIAN LATHAM PA-S
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-3840
Mailing Address
Mr. CHRISTIAN LATHAM PA-S
3012 NW 199TH ST
RIDGEFIELD, WA 98642-9560
Phone number: 360-265-2387
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