KIMBERLY STARR WALDREP (NPI# 1538408844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538408844 |
| Entity Type | Individual |
| Full Name | KIMBERLY STARR WALDREP |
| Credential | FNP |
| Practice Address |
728 Molalla Ave Oregon City OR 97045-2799 |
| Practice Telephone | 5036569030 |
| Mailing Telephone | 5036569030 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AP60551119 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
728 MOLALLA AVE |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-2799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417927351 | John Joseph Antolik | Surgery | 728 Molalla Ave, #c, Oregon City, OR 97045 | 2006-01-24 |
| 1992341648 | Lucy M Jefferson | Registered Nurse | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2019-11-18 |
| 1457902561 | Neighborhood Health Center | Clinic/Center | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2019-09-20 |
| 1558820076 | Pacific Primary Care and Integrative Health, Inc. | Family Medicine | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2019-03-14 |
| 1952848160 | Erin Lingenfelter | Nurse Practitioner | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2017-01-25 |
| 1518402783 | Brittney Griggs | Physician Assistant | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2016-12-27 |
| 1326413188 | Catherine Kateley-williams | Counselor | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2015-12-04 |
| 1164892287 | Maxwell Joel Cohen | Naturopath | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2015-10-01 |
| 1417351560 | Jennifer Lamar | Naturopath | 728 Molalla Ave, Ste A & B, Oregon City, OR 97045-2799 | 2014-10-17 |
| 1811209323 | Laurel Lee Corkran | Nurse Practitioner | 728 Molalla Ave, Suites A and B, Oregon City, OR 97045-2799 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700122058 | Northwest Primary Care Group, PC | Family Medicine | 1511 Division St Ste 101, Oregon City, OR 97045-1589 | 2012-12-13 |
| 1679742217 | Willamette Falls Family Medicine | Family Medicine | 702 John Adams St, Oregon City, OR 97045-1955 | 2008-02-28 |
| 1417917790 | Maria Nelida Miller | Family Medicine | 702 John Adams, Oregon City, OR 97045 | 2006-03-23 |
| 1700853652 | Christopher Reed Eilersen | Family Medicine | 1420 John Adams St, Oregon City, OR 97045-1609 | 2006-02-28 |
| 1821063256 | Robert C. L. Hartog | Family Medicine | 1425 Beavercreek Rd, Oregon City, OR 97045-4076 | 2006-02-20 |
| 1558820076 | Pacific Primary Care and Integrative Health, Inc. | Family Medicine | 728 Molalla Ave, Oregon City, OR 97045-2799 | 2019-03-14 |
| 1154754208 | Anna Marian Tubman | Family Medicine | 1508 Division St, Suite 25, Plaza 2, Oregon City, OR 97045-1582 | 2013-08-13 |
| 1407292592 | Leah B Baruch | Family Medicine | 1425 Beavercreek Rd, Oregon City, OR 97045-4076 | 2013-05-15 |
| 1881937480 | Kristin Sentman Bendert | Family Medicine | 1508 Division St, Oregon City, OR 97045-1582 | 2013-04-02 |
| 1568606770 | Shannon Ehleringer | Family Medicine | 1510 Division St Ste 200, Oregon City, OR 97045-1599 | 2009-05-01 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.