Individual
KIMBERLY RAE STOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5200
Mailing address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201807160NP-PP
OR
Other
Enumeration date
08/23/2018
Last updated
12/31/2018
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