Kimoff, Colleen Dorothy
Kimoff, Colleen Dorothy is an individual health care provider with primary practice located at 9500 Se 82Nd Ave Ste B , Portland OR 97086-3746. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kimoff, Colleen Dorothy can be contacted via phone (971) 323-6234.Contact Information
Primary practice address
9500 Se 82Nd Ave Ste B
Portland OR 97086-3746
Phone: (971) 323-6234
Fax: (503) 386-8214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3820 | Oregon |
Profile Details
NPI number | 1386612885 |
---|---|
LBN Legal business name | Kimoff, Colleen Dorothy |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2006 |
Last updated | Dec 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386612885 | NPPES |
Oregon | MEDICAID | 232005 |
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