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Ms. Kimberly Susan Shotz

Nurse Practitioner - Women's Health

6018 Se Stark St Ste 103
Portland , Oregon 97215-1990

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Ms. Kimberly Susan Shotz

Nurse Practitioner - Women's Health

6018 Se Stark St Ste 103
Portland , Oregon 97215-1990

(503) 802-7321

Write a Review Save Call

Ms. Kimberly Susan Shotz

Nurse Practitioner - Women's Health

6018 Se Stark St Ste 103
Portland , Oregon 97215-1990

(503) 802-7321 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Women's Health

Languages spoken

  • English

Location

6018 Se Stark St Ste 103 Portland , Oregon 97215-1990

First Address

  • Ms. Kimberly Susan Shotz
  • 6018 Se Stark St Ste 103
  • Portland, OR
  • Zip : 97215-1990
  • Fax : (503) 802-7321
  • Phone : (503) 318-3352

Second Address

  • Ms. Kimberly Susan Shotz
  • 6018 Se Stark St Ste 103
  • Portland, OR
  • Zip : 97215-1990
  • Fax : (503) 802-7321
  • Phone : (503) 808-9145

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FAQs


Where did Ms. Kimberly Susan Shotz attend graduate school?

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Where did Ms. Kimberly Susan Shotz do her residency?

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Where did Ms. Kimberly Susan Shotz do her fellowship?

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Is Ms. Kimberly Susan Shotz board certified?

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In what state does Ms. Kimberly Susan Shotz practice in?

Oregon

Where is Ms. Kimberly Susan Shotz ’s practice located?

6018 Se Stark St Ste 103 , Portland, Oregon, 97215-1990

What is Ms. Kimberly Susan Shotz ’s gender?

Female

Is Ms. Kimberly Susan Shotz a sole practitioner?

No

Is Ms. Kimberly Susan Shotz accepting new patients?

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What languages does Ms. Kimberly Susan Shotz speak?

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Does Ms. Kimberly Susan Shotz accept insurance?

Yes, Ms. Kimberly Susan Shotz accepts insurance

Does Ms. Kimberly Susan Shotz offers telemedicine?

Ms. Kimberly Susan Shotz has not indicated if she offers telemedicine

What is Ms. Kimberly Susan Shotz ’s professional license number?

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What is Ms. Kimberly Susan Shotz ’s NPI number?

1003908120

Does Ms. Kimberly Susan Shotz have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LW0102X Nurse Practitioner - Women's Health OR 093006979N7 OR

National Provider Identifier

NPI 1003908120
Provider Name Ms. Kimberly Susan Shotz
First Address Portland, OR 97215-1990
Second Address Portland, OR 97215-1990
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 28/09/2006
Last Update Date 01/06/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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