Individual
VALERIE KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5350
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11041
TX
363AM0700X
Medical Physician Assistant
Primary
PA216621
OR
Other
Enumeration date
11/10/2016
Last updated
04/16/2024
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