Mauer, Kimberly Marie
Mauer, Kimberly Marie is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mail Code Uhs-2, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Mauer, Kimberly Marie can be contacted via phone (503) 494-7641.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Mail Code Uhs-2
Portland OR 97239-3011
Phone: (503) 494-7641
Fax: (503) 494-3092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD25897 | Oregon |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD25897 | Oregon |
Profile Details
| NPI number | 1154439578 |
|---|---|
| LBN Legal business name | Mauer, Kimberly Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Jul 27th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154439578 | NPPES |
| Oregon | MEDICAID | 240567 |
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