Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD198321 | OR |
N | 208000000X | Pediatrician | DR.0058039 | CO |
NPI | 1720407166 |
---|---|
Provider Name | Dr. Kimberly Ann Kripps |
First Address | Portland, OR 97239 |
Second Address | Portland, OR 97239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 02/07/2020 |