KIMBERLY ANNE NISTAD

PORTLAND, OR
NPI1144432626
Former NameKIMBERLY ANNE BOOTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  00345)
Enumeration Date2007-05-04
Last Update Date2015-10-02
Business Address
-- KIMBERLY ANNE NISTAD L.AC.
1331 SE BIRCH ST
PORTLAND, OR 97214-5335
Phone number: 503-309-7267
Mailing Address
-- KIMBERLY ANNE NISTAD L.AC.
1331 SE BIRCH ST
PORTLAND, OR 97214-5335
Phone number: 503-309-7267
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