Cristen Elissa Visconty, LMT, CVT

NPI #1104118926 in Sandy, Oregon

Provider Information

NPI Number: 1104118926
Entity Type: Individual
Name: Cristen Elissa Visconty, LMT, CVT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, CVT
Enumeration Date: May 12, 2011
Last Updated: May 12, 2011

Practice Location

Address: 17150 UNIVERSITY AVE
Address 2: SUITE 100
City: Sandy
State: Oregon
ZIP Code: 97055-9290
Phone: (503) 668-6524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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