# DR. KIMBERLY ANN RYDBOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912184516
- **Gender:** F
- **Credential:** D.O

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | DO29400 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | LL16582 | OR | — |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 08/31/2009