Provider Demographics
NPI:1134341795
Name:ANDRADE, CHRISTINE ANN (LMT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANN
Last Name:ANDRADE
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:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-0326
Mailing Address - Country:US
Mailing Address - Phone:503-668-1973
Mailing Address - Fax:
Practice Address - Street 1:38971 PIONEER BLVD
Practice Address - Street 2:MASSAGE THERAPY CENTER OF SANDY
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-8080
Practice Address - Country:US
Practice Address - Phone:503-826-0141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11803225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist