Individual
KRISTIN REPNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/OTR/L
Contact information
Practice address
6905 NE MALLORY AVE, PORTLAND, OR 97211-2321
(503) 975-5710
Mailing address
6905 NE MALLORY AVE, PORTLAND, OR 97211-2321
(503) 975-5710
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
310667
OR
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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