Individual
KIMBERLY ADELL GECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4132 DEVONSHIRE CT NE, SALEM, OR 97305-1982
(503) 910-4453
Mailing address
1575 CANARY CT NE, SALEM, OR 97301-1989
(503) 910-4453
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
15544
OR
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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