Individual
KIMBERLY L VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7705 SE DIVISION ST, PORTLAND, OR 97206-1059
(503) 777-3311
Mailing address
7705 SE DIVISION ST, PORTLAND, OR 97206-1059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00038217
WA
208000000X
Pediatrics Physician
Primary
MD21889
OR
Other
Enumeration date
08/15/2006
Last updated
02/04/2022
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