Individual
DR. KIMBERLY A PRIVITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8029 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5885
(503) 774-1776
Mailing address
8029 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5885
(503) 774-1776
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
27 3094
OR
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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