Dr. Kimberly A Privitera, DC
Chiropractor, Occupational Health in Portland, OR. Individual provider (NPI-1).
NPI number1023224979
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023224979
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly A Privitera
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NX0100X | Chiropractor, Occupational Health | 27 3094 | OR | Yes |
Practice location
8029 Se Woodstock BlvdPortland, OR 97206-5885
Phone 503-774-1776
Mailing address
8029 Se Woodstock BlvdPortland, OR 97206-5885
Phone 503-774-1776
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