Kim Deaver ATC

NPI 1760663918 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1760663918
Gender Female
Enumeration Date 11/15/2007
Last Updated 11/15/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1235 OVERLOOK DR
LAKE OSWEGO OR, 97034-6945, US
Phone (503) 534-2407
Fax
Business Location
1235 OVERLOOK DR
LAKE OSWEGO OR, 97034-6945, US
Phone (503) 534-2407
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Oregon
License Number ATAT1007932
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According to our database, Kim Deaver ATC NPI is 1760663918, taxonomy code is 2255A2300X and license number is ATAT1007932, license state is located at Oregon. Kim Deaver ATC physically located at 1235 Overlook Dr, Lake Oswego OR, 97034-6945. NPI Number Kim Deaver ATC has the Individual type.

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1760663918 NPI number is provided on an as is basis without warranty of any kind. 1760663918 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Deaver ATC are for informational purposes only.