Individual
MS. KATHLEEN NELL IMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 SE WASHINGTON ST, HILLSBORO, OR 97123-4141
(503) 726-3782
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NONE
OR
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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