Wollmuth, Kimberly A
Wollmuth, Kimberly A is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 301 , Portland OR 97225-6670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wollmuth, Kimberly A can be contacted via phone (503) 297-3371.Contact Information
Primary practice address
9555 Sw Barnes Rd Ste 301
Portland OR 97225-6670
Phone: (503) 297-3371
Fax: (503) 297-7975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD26983 | Oregon |
Profile Details
| NPI number | 1679646095 |
|---|---|
| LBN Legal business name | Wollmuth, Kimberly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | May 28th, 2021 - about 4 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 | 1679646095 | NPPES |
| Oregon | MEDICAID | 28532 |
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