Individual
KIMBERLEE ANN FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6800 SW 105TH AVE STE 206, BEAVERTON, OR 97008-5487
(503) 430-1777
(503) 430-1777
Mailing address
6800 SW 105TH AVE STE 206, BEAVERTON, OR 97008-5487
(503) 430-1777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA160106
OR
Other
Enumeration date
10/12/2011
Last updated
01/05/2026
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