Individual
KIMBERLY DAWN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Mailing address
2616 NE 20TH AVE, PORTLAND, OR 97212-4644
(503) 709-2069
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
200350006NP
OR
Other
Enumeration date
05/25/2007
Last updated
07/27/2022
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