Individual
MISS KIMBERLY RUTH OPPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
Mailing address
1015 OAK ST, UNIT 42, SILVERTON, OR 97381-1756
(503) 568-5380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122994
—
OR
Enumeration date
03/05/2017
Last updated
03/05/2017
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