Individual
KATHI M FIEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7668 SW MOHAWK ST, TUALATIN, OR 97062
(503) 885-5000
(866) 350-1311
Mailing address
7668 SW MOHAWK ST, TUALATIN, OR 97062-8119
(503) 885-5000
(186) 635-0131
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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