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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIMBERLY TAI WISE, DEM

Active Sole Proprietor

MRS. KIMBERLY TAI WISE, DEM is a Midwife healthcare provider located in LEBANON, Oregon. NPI 1134411788 is currently active in the NPPES registry. Verify at CMS.

Midwife · LEBANON, OR

Registration Details

NPI Number
1134411788
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2011 (15.27408569028 yrs)
Last Updated
May 13, 2011
Sole Proprietor
Yes

Practice Information

Address
966 CLEVELAND ST
LEBANON, OR, 973554422
Browse OR providers · Browse ZIP 97355
Phone
5414011667
Primary Specialty
Midwife
176B00000X

Other Midwife Providers in LEBANON, OR

Name Credential NPI
DEBRA A COWART CPM, LDM 1518115237
MRS. ELIZABETH WESTWOOD BAER CPM, LDM 1588967608
EMILY J WHITE CPM, LDM 1134593007
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.