Individual provider · Type 1 NPI

Kimberly Susan Shotz, WHCNP, LAC

Women's Health Nurse Practitioner · Portland, OR

NPI number 1003908120 Active

Practice location

736 SE 60th Ave
Portland, OR 97215-1906

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XOR 093006979N7 (OR)
Acupuncturist 171100000XAC156829 (OR)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1003908120

Kimberly Susan Shotz, WHCNP, LAC's National Provider Identifier is 1003908120, issued on Sep 28, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Portland, OR. The record was last updated on May 5, 2026.