Individual
KIMBERLY LYNN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
3303 SW BOND AVE FL CHH1, PORTLAND, OR 97239-4501
(503) 494-5947
Mailing address
1620 SE CESAR E CHAVEZ BLVD APT 106, PORTLAND, OR 97214-5259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016654
OR
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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