Individual
DR. KIMBERLY ANNE HUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 SW ALDER ST, PORTLAND, OR 97205-3626
(503) 494-4745
(503) 494-4747
Mailing address
621 SW ALDER ST, PORTLAND, OR 97205-3626
(503) 494-4745
(503) 494-4747
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD00045784
WA
2084P0800X
Psychiatry Physician
Primary
MD126282
OR
Other
Enumeration date
04/05/2006
Last updated
11/09/2009
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