Individual
KIMBERLY MICHIKO NAKAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2230 NW PETTYGROVE ST STE 120, PORTLAND, OR 97210-2659
(503) 444-7676
(971) 319-6647
Mailing address
2230 NW PETTYGROVE ST STE 120, PORTLAND, OR 97210-2659
(503) 444-7676
(971) 319-6647
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030930
OR
Other
Enumeration date
08/24/2018
Last updated
12/30/2021
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