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Individual

KIMBERLY SABIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
12901 SE 97TH AVE STE 105, CLACKAMAS, OR 97015-7902
(503) 912-4788
(503) 912-4787
Mailing address
12901 SE 97TH AVE STE 105, CLACKAMAS, OR 97015-7902
(503) 912-4788
(503) 912-4787

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201806291NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500749357
OR
Enumeration date
06/11/2007
Last updated
03/04/2026
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