Individual
MS. KIMBERLY P BOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 N GRAHAM ST, STE 415, PORTLAND, OR 97227-1654
(503) 413-3580
(503) 413-3578
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
172044
OR
363AS0400X
Surgical Physician Assistant
60615487
WA
Other
Enumeration date
12/08/2010
Last updated
12/09/2022
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