Individual
KRISTA SHIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11325 NE WEIDLER ST, PORTLAND, OR 97220-1950
(503) 251-3776
Mailing address
245 SW LINCOLN ST, 3301, PORTLAND, OR 97201-5082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
214581
OR
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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