Individual
KIMBERLY DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2121 NE 139TH ST STE 200, VANCOUVER, WA 98686
(503) 525-7694
Mailing address
1650 NW NAITO PKWY STE 185, PORTLAND, OR 97209-2535
(503) 525-7694
(503) 525-7652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60805891
WA
Other
Enumeration date
08/13/2015
Last updated
08/23/2018
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