Individual
DR. KIMBER L. PEZZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9450 SW BARNES RD STE 200, PORTLAND, OR 97225-6638
(503) 216-2025
(503) 216-5529
Mailing address
9450 SW BARNES RD STE 200, PORTLAND, OR 97225-6638
(503) 216-2025
(503) 216-5529
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD26418
OR
2084P0800X
Psychiatry Physician
MED-PHYS-LIC-35748
MT
2084P0804X
Child & Adolescent Psychiatry Physician
MD26418
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MED-PHYS-LIC-35748
MT
Other
Enumeration date
07/28/2006
Last updated
04/01/2024
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