Organization
KINAESTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LEE TUCKER C.PED. (PRESIDENT)
(503) 867-2239
Entity
Organization
Contact information
Practice address
7725 W STARK ST, PORTLAND, OR 97229-6718
(503) 867-2239
Mailing address
17 SW MILLER RD, PORTLAND, OR 97225
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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