SearchOregon372600000X

Justin Kimball

NPI 1275665572 · on the registry since 2007 · sole proprietor

Practice

Address
12408 Se Fuller Rd
Milwaukie, OR 97222
Phone
(503) 206-9631

Registry record

Primary taxonomy
372600000X
372600000X
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon