Individual
KIMBERLY CAROL FEY POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4823 MEADOWS RD STE 127, LAKE OSWEGO, OR 97035-2622
(888) 227-3312
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA153752
OR
363AM0700X
Medical Physician Assistant
PA 153-752
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500709656
—
OR
Enumeration date
04/18/2011
Last updated
09/23/2020
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