Individual
KRISTIN SUMMERLIN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4212 SE EVERGREEN ST, PORTLAND, OR 97206-7765
(503) 869-2319
Mailing address
4212 SE EVERGREEN ST, PORTLAND, OR 97206-7765
(503) 869-2319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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