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KIMBERLY A. CECCARELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9135 SW BARNES RD STE 668, PORTLAND, OR 97225-6683
(503) 216-8250
(971) 282-0116
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10016529
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
10016529
OR

Other

Enumeration date
09/28/2023
Last updated
04/19/2024
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