NPI 1295040012

Kristopher Nielsen, CO

Practitioner Orthotist Portland, OR

Practice location

Address: 1627 NE Broadway, Portland, OR 97232-1425
Phone: (503) 287-0459
Fax: (503) 281-9252

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1295040012
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2010
Record last updated: 17 Aug 2010

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.