Individual
MRS. KIMBERLY ANN MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 NW MEDICAL LOOP STE, ROSEBURG, OR 97471-5597
(541) 900-4285
Mailing address
272 NW MEDICAL LOOP STE, ROSEBURG, OR 97471-5597
(541) 900-4285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R6850
—
OR
Enumeration date
05/17/2021
Last updated
05/17/2021
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