Individual
DR. EMILY RUTH KIDNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
8625 SW CASCADE AVE STE 320, BEAVERTON, OR 97008-7126
(877) 755-8940
Mailing address
574 N LOMBARD ST, PORTLAND, OR 97217-1574
(937) 269-5470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
414409
OR
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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