Individual
KIMBERLY SEAVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 WESTGATE BLDG 1, PENDLETON, OR 97801-9613
(541) 429-8721
(541) 429-8720
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4663
OR
Other
Enumeration date
01/03/2013
Last updated
07/31/2020
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