Individual
DR. KIMBERLY MARIE MAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHS-2, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-3092
Mailing address
2124 NW 16TH AVE, PORTLAND, OR 97209-2564
(503) 494-7246
(503) 494-7935
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD25897
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD25897
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240567
—
OR
Enumeration date
08/27/2006
Last updated
07/27/2011
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