Williams, Kimberly Sue
Williams, Kimberly Sue is an individual health care provider with primary practice located at 18040 Sw Lower Boones Ferry Rd Suite 100, Tigard OR 97224-7258. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Kimberly Sue can be contacted via phone (503) 216-0700.Contact Information
Primary practice address
18040 Sw Lower Boones Ferry Rd Suite 100
Tigard OR 97224-7258
Phone: (503) 216-0700
Fax: (503) 216-0750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | NP19924 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | NP19924 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP19924 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201393029NP-PP | Oregon |
Profile Details
| NPI number | 1578870069 |
|---|---|
| LBN Legal business name | Williams, Kimberly Sue |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2010 |
| Last updated | Mar 25th, 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 | 1578870069 | NPPES |
| Oregon | Other | P01404411 | RR MEDICARE - PH&S |
| Oregon | Other | NP19924 | RR MEDICARE - PH&S |
| Oregon | MEDICAID | 500667975 | RR MEDICARE - PH&S |
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