Individual
MRS. KIMBERLY PASCOE MINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
(503) 452-3200
Mailing address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
(503) 452-3200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5699
OR
Other
Enumeration date
09/30/2008
Last updated
10/10/2012
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