Individual
KIMBERLY M ERSKINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4615 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6275
(503) 771-1974
Mailing address
28725 SE CHURCH RD, BORING, OR 97009-7133
(503) 880-9440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13395
OR
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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