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Contact Information

KRISTIN REPNIK, MOT/OTR/L
6905 NE MALLORY AVE
PORTLAND, OR97211-2321
 Phone: 503-975-5710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTIN REPNIK · (Female)

NPI Number 1053749077
Status Active
Credentials MOT/OTR/L
Entity Individual
Enumeration date 10/30/2013
Last updated 10/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 310667
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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