Anne Kimberly FNP-C

NPI 1073513453 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073513453
Gender Female
Enumeration Date 07/28/2005
Last Updated 07/06/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
3203 SE WOODSTOCK BLVD
PORTLAND OR, 97202-8138, US
Phone (503) 777-7281
Fax (503) 777-7209
Business Location
3181SWSAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-7551
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Oregon
License Number 092000112N1
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According to our database, Anne Kimberly FNP-C NPI is 1073513453, taxonomy code is 363L00000X and license number is 092000112N1, license state is located at Oregon. Anne Kimberly FNP-C physically located at 3203 Se Woodstock Blvd, Portland OR, 97202-8138. NPI Number Anne Kimberly FNP-C has the Individual type.

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1073513453 NPI number is provided on an as is basis without warranty of any kind. 1073513453 is maintained by the National Plan & Provider Enumeration System. The contents of Anne Kimberly FNP-C are for informational purposes only.