Individual
MS. LIA KIMI YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205
(503) 221-0161
(503) 221-4030
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5037
OR
Other
Enumeration date
07/25/2006
Last updated
05/08/2013
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