Individual
KIMBERLEE ANN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10496 SW BONANZA WAY, TIGARD, OR 97224-4339
(503) 334-6293
Mailing address
10496 SW BONANZA WAY, TIGARD, OR 97224-4339
(503) 334-6293
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
082012285 RN
OR
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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