Individual
KIMBERLY LEIGH WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD25588
OR
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD25588
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273850
—
OR
01
—
MD25588
OREGON MEDICAL LICENSE
OR
Enumeration date
10/24/2006
Last updated
05/23/2022
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