Individual
KIANA MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SE 8TH AVE, HILLSBORO, OR 97123-4216
(808) 228-1188
Mailing address
4801 SE DAVIS RD, HILLSBORO, OR 97123-8547
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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