Individual
KIMBERLY NICOLE GUADALUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
501 N GRAHAM ST STE 550, PORTLAND, OR 97227-2010
(503) 284-5220
(503) 284-4971
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201809755NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119698
—
WA
05
—
500758570
—
OR
Enumeration date
12/26/2018
Last updated
12/12/2025
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