Individual
DR. SAMUEL HEBER KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1502 N PINE ST, LA GRANDE, OR 97850-3543
(541) 963-3788
(541) 963-3091
Mailing address
1502 N PINE ST, STE 3, LA GRANDE, OR 97850-3543
(541) 963-3788
(541) 963-3091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3311AT
OR
Other
Enumeration date
07/01/2009
Last updated
12/06/2018
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