PORNTIP KIATSIMKUL

CORVALLIS, OR
NPI1205099082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: OR  MD222762)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: FL  ME132818)
Enumeration Date2008-07-02
Last Update Date2025-05-02
Business Address
PORNTIP KIATSIMKUL MD
3640 NW SAMARITAN DR STE 210
CORVALLIS, OR 97330-3787
Phone number: 541-768-5810
Mailing Address
PORNTIP KIATSIMKUL MD
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number: