person
Ethan Kimball, DO
Emergency Medicine Physician in Portland, Oregon
NPI 1407484934

Ethan Kimball is a Emergency Medicine Physician based in Portland, OR. Ethan Kimball practices in Portland, OR and has the professional credentials of DO. The NPI Number for Ethan Kimball is 1407484934 and holds a License No. (Oregon).

The current practice location address for Ethan Kimball is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8211. You can also correspond with Ethan Kimball through the mailing address at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR - 97239-3011 (mailing address contact number: 503-494-8211).

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
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Provider Profile Details
NPI Number
1407484934
Provider Name
Ethan Kimball
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-8211
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8211
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
DO209426 (Oregon)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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