Individual
KATE NICOLE KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PDSP
Contact information
Practice address
3716 NE MLK JR BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
(503) 288-8168
Mailing address
3716 NE MLK JR BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
(503) 288-8168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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