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Laquenta Kirby
NPI 1417275777 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1435 Se 122nd Ave
Portland, OR 97233 - Phone
- (702) 624-7297
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-05-12
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