Individual
MS. KIRSTIN JANE-HAMILTON PAUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2701 NW VAUGHN ST, SUITE 150, PORTLAND, OR 97210-5311
(503) 721-3946
(503) 721-3949
Mailing address
1531 SE TENINO ST, PORTLAND, OR 97202-6649
(503) 872-8785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2714
OR
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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