Individual
KRISTINA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5211 NE GLISAN ST, BUILDING C, PORTLAND, OR 97213-3052
(503) 215-5368
(503) 215-6240
Mailing address
5211 NE GLISAN ST, BUILDING C, PORTLAND, OR 97213-3052
(503) 215-5368
(503) 215-6240
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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