Individual
DR. KIMBERLY E HANDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MSD
Contact information
Practice address
1616 SW SUNSET BLVD, SUITE C, PORTLAND, OR 97239
(503) 246-6789
(503) 452-4452
Mailing address
1616 SW SUNSET BLVD C, PORTLAND, OR 97239
(503) 246-6785
(503) 452-4452
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7540
OR
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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