Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 5530 | OR |
NPI | 1285050369 |
---|---|
Provider Name | Ms. Christine Major |
First Address | Beaverton, OR 97005-5607 |
Second Address | Beaverton, OR 97005-5607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2014 |
Last Update Date | 12/03/2014 |