Individual
NICHOLE KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 NW AMBERGLEN PKWY, SUITE 150, BEAVERTON, OR 97006-6980
(971) 327-4356
(971) 228-2177
Mailing address
1920 NW AMBERGLEN PKWY, SUITE 150, BEAVERTON, OR 97006-6980
(971) 327-4356
(971) 228-2177
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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