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Individual

KIMBERLY DAWN PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4475 SW SCHOLLS FERRY RD, STE 201, PORTLAND, OR 97225-1955
(503) 516-7938
Mailing address
4475 SW SCHOLLS FERRY RD, STE 201, PORTLAND, OR 97225-1955
(503) 516-7938

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8152
OR

Other

Enumeration date
03/16/2006
Last updated
11/20/2008
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