MARTIN KIMITA

Psychiatric Residential Treatment Facility

Active Individual
NPI: 1588483168

Practice Address

14512 SE FOSTER RD
Portland, OR 97236

Phone: (781) 534-1079

Specialties

Specialty Code Primary License
Psychiatric Residential Treatment Facility 323P00000X Yes -

Frequently Asked Questions

NPI 1588483168 is the National Provider Identifier for MARTIN KIMITA, a Psychiatric Residential Treatment Facility provider located in Portland, OR. This NPI was enumerated on October 9, 2024.
MARTIN KIMITA practices at 14512 SE FOSTER RD, Portland, OR 97236.

Quick Facts

NPI
1588483168
Type
Individual
Enumerated
Oct 9, 2024
Last Updated
Oct 9, 2024

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