Wentz, Kim Renae
Wentz, Kim Renae is an individual health care provider with primary practice located at 2050 Progress Way , Woodburn OR 97071-9764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wentz, Kim Renae can be contacted via phone (503) 981-5348.Contact Information
Primary practice address
2050 Progress Way
Woodburn OR 97071-9764
Phone: (503) 981-5348
Fax: (503) 981-0423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD28910 | Oregon |
Profile Details
| NPI number | 1962429795 |
|---|---|
| LBN Legal business name | Wentz, Kim Renae |
| Credentials | M.D.,M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Apr 30th, 2014 - about 12 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 | 1962429795 | NPPES |
| New York | MEDICAID | 01685249 | |
| New York | MEDICAID | 500603441 |
Popular Providers
-
Steinberg, Richard Henry
2050 Progress Way , Woodburn OR 97071-9764 -
Jewell-Mahler, Victoria
1600 Coraopolis Heights Rd Ste E, Moon Twp PA 15108-4316 -
Linderoth, Diana Marie
2050 Progress Way , Woodburn OR 97071-9764 -
Sayat, Jonathan G
555 S Floyd St , Louisville KY 40202-3822 -
Bhatia, Shanti
2050 Progress Way , Woodburn OR 97071-9764 -
Frazier, Erin Richey
230 E Broadway , Louisville KY 40202-2026 -
Holmes, Ashley Parker
1475 Mount Hood Ave , Woodburn OR 97071-9066 -
Schwartz, Megan Caitlin
1475 Mount Hood Ave , Woodburn OR 97071-9066