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Contact Information

KIMBERLY S AVERY
342 FAIRVIEW ST
SILVERTON, OR97381
 Phone: 503-873-1500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KIMBERLY S AVERY · (Female)

NPI Number 1861994055
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2018
Last updated 05/08/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101027806
  • OR License # DO224207
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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