Individual
KIMBERLY JEAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
8399023-4405
UT
163WW0101X
Ambulatory Women's Health Care Registered Nurse
NP2618
CA
176B00000X
Midwife
NM1319
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
201800946NP-PP
OR
367A00000X
Advanced Practice Midwife
201406025NP-PP
OR
367A00000X
Advanced Practice Midwife
8399023-4402
UT
Other
Enumeration date
10/28/2010
Last updated
04/04/2018
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