Individual
KIMBERLY S. KNIEBUEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
2801 N GANTENBEIN AVE, NICU, PORTLAND, OR 97227-1623
(503) 518-9321
Mailing address
2801 N GANTENBEIN AVE, NICU, PORTLAND, OR 97227-1623
(503) 518-9321
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
21101
OR
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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