Individual
KIP DARBY CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
2925 NW SALTZMAN RD, PORTLAND, OR 97229-3948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T5272
OR
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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