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Individual

KRISTIN ANNE MALT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.O.T.

Contact information

Practice address
300 NW 8TH AVE, #703, PORTLAND, OR 97209-3553
(561) 308-9734
Mailing address
300 NW 8TH AVE, #703, PORTLAND, OR 97209-3553
(561) 308-9734

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1024849
OR

Other

Enumeration date
06/11/2009
Last updated
06/11/2009
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