Edmonds, Kimberly
Edmonds, Kimberly is an individual health care provider with primary practice located at 1401 N 10Th Ave Ste 100 , Stayton OR 97383-1486. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Edmonds, Kimberly can be contacted via phone (503) 769-6386.Contact Information
Primary practice address
1401 N 10Th Ave Ste 100
Stayton OR 97383-1486
Phone: (503) 769-6386
Fax: (503) 769-5647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA218013 | Oregon |
Profile Details
| NPI number | 1760104855 |
|---|---|
| LBN Legal business name | Edmonds, Kimberly |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2022 |
| Last updated | Jan 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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