Individual
KRISTEN GEFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RPP
Contact information
Practice address
5515 NE 30TH AVE, PORTLAND, OR 97211-6805
(503) 312-5878
Mailing address
5515 NE 30TH AVE, PORTLAND, OR 97211-6805
(503) 312-5878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12938
OR
Other
Enumeration date
02/02/2007
Last updated
05/17/2011
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