Provider Demographics
NPI:1659660520
Name:HALL-POND, ANN-MARIE KRISTINE (LMT, LMP)
Entity Type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:KRISTINE
Last Name:HALL-POND
Suffix:
Gender:F
Credentials:LMT, LMP
Other - Prefix:
Other - First Name:ANN-MARIE
Other - Middle Name:KRISTINE
Other - Last Name:BINKERD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:2945 SE 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-6223
Mailing Address - Country:US
Mailing Address - Phone:503-544-2463
Mailing Address - Fax:360-828-7866
Practice Address - Street 1:2945 SE 73RD AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6223
Practice Address - Country:US
Practice Address - Phone:503-544-2463
Practice Address - Fax:360-828-7866
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60560850172M00000X
OR17372172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist