SearchOregon176B00000X

Kimberly Wise, DEM

NPI 1134411788 · on the registry since 2011 · sole proprietor

Practice

Address
966 Cleveland St
Lebanon, OR 97355
Phone
(541) 401-1667

Registry record

Primary taxonomy
176B00000X
176B00000X
Sex
Female
Record last updated
2011-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon