| NPI | 1467512277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY E KINTZ Md 503-364-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 087000274N3) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |