Individual
KIMBERLY FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10101 SE MAIN ST STE 2011, PORTLAND, OR 97216-2457
(503) 255-3404
(503) 255-4750
Mailing address
10101 SE MAIN ST STE 2011, PORTLAND, OR 97216-2457
(503) 255-3404
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10016545
OR
363LG0600X
Gerontology Nurse Practitioner
28168424A
IN
Other
Enumeration date
11/17/2020
Last updated
05/15/2024
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