Kristopher Nielsen, CO

NPI #1295040012 in Portland, Oregon

Provider Information

NPI Number: 1295040012
Entity Type: Individual
Name: Kristopher Nielsen, CO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CO
Enumeration Date: Aug 17, 2010
Last Updated: Aug 17, 2010

Practice Location

Address: 1627 NE BROADWAY
City: Portland
State: Oregon
ZIP Code: 97232-1425
Phone: (503) 287-0459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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