Individual
MISS HILLARY INGRID KIBGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7925 SE STARK ST, PORTLAND, OR 97215-2341
(503) 922-9895
Mailing address
4243 SE 117TH AVE, PORTLAND, OR 97266-2115
(503) 922-9895
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1069622
OR
Other
Enumeration date
06/18/2007
Last updated
04/25/2017
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