KIMBERLEY LA MORTICELLA

PORTLAND, OR
NPI1972263184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: OR  202109521NP-PP)
Enumeration Date2021-12-29
Last Update Date2021-12-29
Business Address
KIMBERLEY LA MORTICELLA WHNP-BC
6027 SE PARDEE ST
PORTLAND, OR 97206-4756
Phone number: 503-887-6482
Mailing Address
KIMBERLEY LA MORTICELLA WHNP-BC
6027 SE PARDEE ST
PORTLAND, OR 97206-4756
Phone number: 503-887-6482
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