Guadalupe, Kimberly Nicole

Guadalupe, Kimberly Nicole is an individual health care provider with primary practice located at 501 N Graham St Ste 550 , Portland OR 97227-2010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Guadalupe, Kimberly Nicole can be contacted via phone (503) 284-5220.

Contact Information

Primary practice address
501 N Graham St Ste 550 Portland OR 97227-2010
Phone: (503) 284-5220
Fax: (503) 284-4971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201809755NP-PP Oregon

Profile Details

NPI number 1558833921
LBN Legal business name Guadalupe, Kimberly Nicole
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2018
Last updated Nov 21st, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558833921 NPPES
Oregon MEDICAID 500758570
Oregon MEDICAID 2119698

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