Individual
KIMBERLY KOVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 SE 59TH AVE, PORTLAND, OR 97206-4705
(503) 708-1120
Mailing address
4701 SE 59TH AVE, PORTLAND, OR 97206-4705
(503) 708-1120
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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