Individual
CHARLES MAINA KIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
4393 INDIGO ST NE, SALEM, OR 97305-2137
(503) 393-0590
(503) 966-3990
Mailing address
4393 INDIGO ST NE, SALEM, OR 97305-2137
(503) 393-0590
(503) 966-3990
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
202103475RN
OR
Other
Enumeration date
11/09/2023
Last updated
10/06/2025
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