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Search › Oregon › 225700000X

Samuel Kibani

NPI 1770164030 · on the registry since 2021 · sole proprietor

Practice

Address
3 Monroe Pkwy Ste U
Lake Oswego, OR 97035
Phone
(503) 386-5311
Organisation at this address
Serenaissance Llc
Mountain Park Pharmacy
Rf Heikens Enterprises, Inc
Form & Function Chiropractic Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-19

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