Individual
KIMBERLY A TINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
37400 BELL ST, SANDY, OR 97055-7868
(503) 668-3483
(503) 668-1892
Mailing address
2051 KAEN RD, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79043410NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292091
—
OR
Enumeration date
07/01/2005
Last updated
10/18/2016
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