Kimberly Jan Smith, P.T.
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1043657331
StatusActive
Last updated in NPPESMay 28, 2013
Details
- NPI
- 1043657331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Jan Smith
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2013
- Last updated
- May 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 3309 | OR | Yes |
Practice location
909 Ne Brazee St#1
Portland, OR 97212-4162
Phone 503-280-1107
Mailing address
909 Ne Brazee St#1
Portland, OR 97212-4162
Phone 503-280-1107
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