Individual
KIMBERLY CAROL MCDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9630 SW OMARA ST, TIGARD, OR 97223-4929
(035) 686-8574
Mailing address
15532 SW PACIFIC HWY # 215, TIGARD, OR 97224-3598
(503) 686-8574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R6342
OR
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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