Individual
DR. KIMBERLY LOUISE CLINITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A144005
CA
207Q00000X
Family Medicine Physician
Primary
MD218380
OR
207Q00000X
Family Medicine Physician
MD60833456
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366837163
—
WA
Enumeration date
03/30/2015
Last updated
01/15/2024
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