Individual provider · Type 1 NPI

Kimberly Peoro, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1629555115 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (034) 944-3145 Map

Fax (503) 346-6810

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA195602 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1629555115

Kimberly Peoro, PA-C's National Provider Identifier is 1629555115, issued on Jul 26, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jul 12, 2022.