Individual
SHANNON KATHERINE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
364 SE 8TH AVE STE 107, HILLSBORO, OR 97123-4243
(503) 681-1338
Mailing address
17900 NW ANASTASIA DR, PORTLAND, OR 97229-8502
(503) 621-8487
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0019145
OR
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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