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KIMBERLY SUE-ANN AVERY

Individual Provider (NPI-1) Active

Emergency Medicine

Provider Information

NPI Number
1861994055
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
342 FAIRVIEW ST, SILVERTON, OR, 97381
Phone
(503) 873-1500

Specialties & Taxonomies

Emergency Medicine Primary License: OR #DO224207
Emergency Medicine License: MI #5101027806
Student in an Organized Health Care Education/Training Program

All Addresses

LOCATION

342 FAIRVIEW ST

SILVERTON, OR, 97381

(503) 873-1500

MAILING

PO BOX 3417

PORTLAND, OR, 972083417