Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 6116 | OR |
NPI | 1184219453 |
---|---|
Provider Name | Dr. Kimber Savage |
First Address | Portland, OR 97223-5500 |
Second Address | Portland, OR 97223-5500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2021 |
Last Update Date | 08/03/2021 |