Individual
KIMBERLY ANN STORGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-6059
Mailing address
18008 SE 44TH WAY, VANCOUVER, WA 98683-7402
(360) 607-9105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1400627
OR
Other
Enumeration date
05/23/2007
Last updated
09/27/2013
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