Individual
KIMBERLY LORENA NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
4712 SE BOISE ST, PORTLAND, OR 97206-4042
(503) 804-8113
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
202006946RN
OR
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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