Kimberly Lauren Imbesi
Emergency Physician
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
Kimberly Lauren Imbesi
Emergency Physician
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
(503) 494-4997
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Kimberly Lauren Imbesi
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 494-4997
- Phone : (503) 494-8211
Second Address
- Kimberly Lauren Imbesi
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 346-8021
- Phone : (503) 494-8211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | MD182084 | OR |
National Provider Identifier
| NPI | 1003252065 |
|---|---|
| Provider Name | Kimberly Lauren Imbesi |
| First Address | Portland, OR 97239-3011 |
| Second Address | Portland, OR 97239-3011 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2013 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.