Individual
KIMBERLY LYNNE KINCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
333 NE RUSSELL ST, SUITE 204, PORTLAND, OR 97212-3762
(503) 515-8711
Mailing address
333 NE RUSSELL ST, SUITE 204, PORTLAND, OR 97212-3762
(503) 515-8711
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10129435
OR
176B00000X
Midwife
MW60272065
WA
Other
Enumeration date
03/13/2009
Last updated
01/02/2014
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