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1891866513
CHRISTOPHER M B WALLIS
LEBANON, OR
NPI
1891866513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01247)
Enumeration Date
2006-11-13
Last Update Date
2020-11-04
Business Address
Mr. CHRISTOPHER M B WALLIS PA-C
191 N MAIN ST
LEBANON, OR 97355-2870
Phone number: 541-451-7940
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Mailing Address
Mr. CHRISTOPHER M B WALLIS PA-C
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number:
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