Kimberly Susan Shotz in Portland - Women's Health
Kimberly Susan Shotz - NPI 1003908120
Kimberly Susan Shotz is a Women's Health in Portland, Oregon. Kimberly Susan Shotz practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Kimberly Susan Shotz is 1003908120. The last update date is 2022-09-21.
Kimberly Susan Shotz's current location address is 6018 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5033183352 and fax number 5038027321. The mailing address for Kimberly Susan Shotz is 6018 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Susan Shotz |
|---|---|
| Address | 6018 Se Stark St, Portland, Oregon |
| Phone Number | 5033183352 |
| Fax Number | 5038027321 |
| Sole Proprietor | Y |
| Credentials | WHCNP, LAC |
NPI Number Detail
| NPI Number | 1003908120 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2022-09-21 |
Provider Mailing Address Detail
| Address | 6018 Se Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972151990 |
| Phone Number | 5033183352 |
| Fax Number | 5038027321 |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | OR 093006979 |
|
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kimberly Susan Shotz by the Centers for Medicare & Medicaid Services?
The Kimberly Susan Shotz has been issued the NPI (National Provider Identifier) 1003908120, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kimberly Susan Shotz located?
The Kimberly Susan Shotz is located at 6018 Se Stark St, Portland, OR 972151990.
What is the Kimberly Susan Shotz's area of specialization and corresponding taxonomy classification?
The Kimberly Susan Shotz's specialty field is Women's Health, and it falls under the taxonomy code 363Lw0102X, which categorizes healthcare providers based on their specialties.
On what date did the Kimberly Susan Shotz receive its 1003908120 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Susan Shotz was assigned its 1003908120 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the details related to Kimberly Susan Shotz most recently updated or revised?
The information pertaining to Kimberly Susan Shotz, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-21.
NPI Number: 1962405167
Address: 4230 Crums Mill Road, Harrisburg, PA