Individual
KIMBERLY L ANCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
475 S COLUMBIA RIVER HWY, SAINT HELENS, OR 97051-2859
(503) 397-8040
Mailing address
PO BOX 742997, LOS ANGELES, CA 90074-2997
(360) 514-2142
(360) 514-6820
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA157622
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8357915
—
WA
Enumeration date
06/01/2006
Last updated
06/30/2022
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