SearchOregon101YM0800X

Kimberly Stovall

NPI 1750220869 · on the registry since 2026 · sole proprietor

Practice

Address
63311 Jamison St
Bend, OR 97703
Phone
(541) 322-7500
Fax
(541) 322-7565
Clinicians at this address
68

Additional practice sites

  • 2298 Young Ave # 1200, Memphis, TN

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
104100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-30

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