Individual
KIMBERLY PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
720 12TH ST SE, AUBURN, WA 98002
(253) 735-3606
(253) 351-9807
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
60928
OR
225100000X
Physical Therapist
PT60275990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0320280
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1619307261
—
WA
05
—
500744575
—
OR
01
—
P01311334
MEDICARE RAILROAD
WA
Enumeration date
11/18/2013
Last updated
06/27/2018
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