Individual
KIMO MAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2373 KUEBLER RD. S, SALEM, OR 97302
(503) 399-3261
(503) 391-4046
Mailing address
2540 FEATHER FIRE AVE NW, SALEM, OR 97304-2765
(503) 560-1502
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
ATAT589473
OR
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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