Provider Demographics
NPI:1902053929
Name:BROGNA, CHRISTINA M (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:BROGNA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 NE KATHRYN ST
Mailing Address - Street 2:SUITE 18
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5959
Mailing Address - Country:US
Mailing Address - Phone:503-488-0097
Mailing Address - Fax:
Practice Address - Street 1:2575 NE KATHRYN ST
Practice Address - Street 2:SUITE 18
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5959
Practice Address - Country:US
Practice Address - Phone:503-488-0097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor