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1295040012
KRISTOPHER NIELSEN
PORTLAND, OR
NPI
1295040012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
-- KRISTOPHER NIELSEN CO
1627 NE BROADWAY
PORTLAND, OR 97232-1425
Phone number: 503-287-0459
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Mailing Address
-- KRISTOPHER NIELSEN CO
1627 NE BROADWAY
PORTLAND, OR 97232-1425
Phone number: 503-287-0459
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