Individual
KIM PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-5263
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24-QMHA-II-000293
OR
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/19/2011
Last updated
03/07/2025
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