Individual
MISS KIMBERLY IRENE PAIEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3440 SE 55TH AVE, PORTLAND, OR 97206-2910
(541) 953-4700
Mailing address
3440 SE 55TH AVE, PORTLAND, OR 97206-2910
(541) 953-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142034RN
OR
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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