Individual
KIMBERLY S VAN WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
445 HARLOW RD STE 120, SPRINGFIELD, OR 97477-1341
(541) 736-8870
(541) 736-8860
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60542
OR
225100000X
Physical Therapist
PT.014485
OH
Other
Enumeration date
09/05/2013
Last updated
04/13/2018
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