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Individual

KIMBERLY T SOLONDZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
736 SE 33RD AVE, PORTLAND, OR 97214-3385
(503) 449-6781

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1041155
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227415
OR
Enumeration date
09/20/2006
Last updated
01/22/2009
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