Individual
JOEL T KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(860) 705-0778
Mailing address
4635 NE GARFIELD AVE, PORTLAND, OR 97211-3312
(860) 705-0778
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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