Individual
MS. KIMBERLY BIGGS SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3303 SW BOND AVE, CH16D, PORTLAND, OR 97239-4501
(503) 418-3376
(503) 494-6968
Mailing address
3303 SW BOND AVE, CH16D, PORTLAND, OR 97239-4501
(503) 418-3376
(503) 494-6968
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01062
OR
363AM0700X
Medical Physician Assistant
PA10004982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3265
LIMITED PERMIT
OR
01
—
PA01062
PHYSICIAN ASSITANT
OR
01
—
PA10004982
STATE OF WASHINGTON
WA
Enumeration date
02/20/2006
Last updated
02/18/2009
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