NPI 1972395556

Infinite Healing

Organisation Mastectomy Fitter Beaverton, OR

Practice location

Address: 6700 SW 105th Ave STE 214, Beaverton, OR 97008-8824
Phone: (503) 730-4754
Mailing address: 8654 NE Dyer St, Portland, OR 97220-5266

Authorised official

Name: Kristine King
Title: Owner
Phone: (503) 730-4754

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1972395556
Entity type: Organization
NPI issued: 20 May 2025
Record last updated: 20 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.