Individual
PATRICIA (TRISH) ANN KIRCHHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4650
Mailing address
7710 SE 35TH AVE, PORTLAND, OR 97202-8408
(971) 235-5712
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
200242824RN
OR
Other
Enumeration date
04/13/2018
Last updated
06/16/2018
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