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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386612885 NPPES
Oregon MEDICAID 232005

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