Kristen P Massimino MD

NPI 1720208556 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1720208556
Gender Female
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3181 SW SAM JACKSON PARK ROAD #L579
PORTLAND OR, 97239-3098, US
Phone (503) 494-8652
Fax
Business Location
3801 SW HAMILTON ST
PORTLAND OR, 97221-3932, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Kristen P Massimino MD NPI is 1720208556, taxonomy code is 390200000X Kristen P Massimino MD physically located at 3181 Sw Sam Jackson Park Road #l579, Portland OR, 97239-3098. NPI Number Kristen P Massimino MD has the Individual type.

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1720208556 NPI number is provided on an as is basis without warranty of any kind. 1720208556 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen P Massimino MD are for informational purposes only.