Individual
NICOLE KVIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 12TH ST STE C, HOOD RIVER, OR 97031-9005
(541) 716-1316
Mailing address
1700 12TH ST STE C, HOOD RIVER, OR 97031-9005
(541) 716-1316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16928
OR
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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