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Dr. Kimberly Susan Stump, MD
Family Medicine Physician in Salem, Oregon
NPI 1063619518

Kimberly Susan Stump is a Family Medicine Physician based in Salem, OR. Kimberly Susan Stump practices in Salem, OR and has the professional credentials of MD. The NPI Number for Kimberly Susan Stump is 1063619518 and holds a License No. P1496 (Oregon).

The current practice location address for Kimberly Susan Stump is 900 State St, Salem, OR and can be reached out via phone at 503-370-6062. You can also correspond with Kimberly Susan Stump through the mailing address at 5536 SALAL ST SE, SALEM, OR - 97306-2184 (mailing address contact number: 214-418-3699).

Location: 900 State St, Salem, OR, 97306-2184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063619518
Provider Name
Kimberly Susan Stump
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
900 State St, Salem, OR, 97306-2184
Phone Number
503-370-6062
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 State St
City
Salem
State
Oregon
Zip
97301-3922
Phone Number
503-370-6062
Fax Number
person
Provider Business Mailing Address Details
Address
900 State St
City
Salem
State
Oregon
Zip
97301-3922
Phone Number
503-370-6062
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
RT1676 (New Hampshire)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
P1496 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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