Provider Demographics
NPI:1235432246
Name:VRANIZAN-MEANEY, CHRISTINE JOAN (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JOAN
Last Name:VRANIZAN-MEANEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-3114
Mailing Address - Country:US
Mailing Address - Phone:971-998-8984
Mailing Address - Fax:
Practice Address - Street 1:315 2ND ST
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-3114
Practice Address - Country:US
Practice Address - Phone:971-998-8984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11008172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist