Individual
DR. KIP MARILYN HARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, L.AC
Contact information
Practice address
316 NE 28TH AVE, PORTLAND, OR 97232-3150
(503) 230-0812
Mailing address
316 NE 28TH AVE, PORTLAND, OR 97232-3150
(503) 230-0812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1670
OR
171100000X
Acupuncturist
Primary
AC00351
OR
Other
Enumeration date
04/10/2007
Last updated
01/30/2009
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