Individual
KIMBERLY J WEHBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4920 N INTERSTATE AVE, PORTLAND, OR 97217-3653
(503) 215-3300
(503) 215-3350
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
099006597N1
OR
363LF0000X
Family Nurse Practitioner
Primary
99006597
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291742
—
OR
01
—
P00214385
RR MEDICARE
OR
Enumeration date
07/08/2006
Last updated
09/15/2021
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