Kim David Sperry

NPI 1164577524 - Registered Nurse - 163WP0808X

NPI Details
NPI 1164577524
Gender Male
Enumeration Date 01/24/2007
Last Updated 02/05/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
412 SW 12TH AVE
PORTLAND OR, 97205-2329, US
Phone (503) 228-7134
Fax (503) 445-0749
Business Location
232 NW 6TH AVE
PORTLAND OR, 97209-3609, US
Phone (503) 294-1681
Fax (503) 241-7419
Taxonomy Code 163WP0808X
License State Oregon
License Number 83038439RN
Remove 1164577524 NPI Number

According to our database, Mr. Kim David Sperry NPI is 1164577524, taxonomy code is 163WP0808X and license number is 83038439RN, license state is located at Oregon. Kim David Sperry physically located at 412 Sw 12th Ave, Portland OR, 97205-2329. NPI Number Kim David Sperry has the Individual type.

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1164577524 NPI number is provided on an as is basis without warranty of any kind. 1164577524 is maintained by the National Plan & Provider Enumeration System. The contents of Kim David Sperry are for informational purposes only.