Individual
COLLEEN DOROTHY KIMOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9500 SE 82ND AVE STE B, PORTLAND, OR 97086-3746
(971) 323-6234
(503) 386-8214
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232005
—
OR
Enumeration date
03/09/2006
Last updated
12/21/2022
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