Individual
KIERSTYN MONET GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7203 SE RAYMOND ST, PORTLAND, OR 97206-4323
(503) 895-1320
Mailing address
13702 SE 162ND AVE APT 41, HAPPY VALLEY, OR 97015-3654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63673
OR
Other
Enumeration date
08/12/2020
Last updated
08/13/2020
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