Individual
KACI WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 SW 105TH AVE STE 101, BEAVERTON, OR 97008-5488
(971) 200-1966
Mailing address
2191 RIDGEBROOK DR, WEST LINN, OR 97068-1956
(503) 919-1607
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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