Most Relevant Information
Provider Data
| NPI Number: | 1003270364 |
| Provider Name: | KIRSTIE DU |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2016 |
| Last Updated: | 04/12/2016 |
Provider Practice Location
2043 COLLEGE WAY
FOREST GROVE
OR
971161756
Practice Location Phone/Fax
| Phone: | 5034197884 |
| Fax: |
Provider Mailing Location
2043 COLLEGE WAY
FOREST GROVE
OR
971161756
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |