Most Relevant Information
Provider Data
| NPI Number: | 1003539560 |
| Provider Name: | OLIVIA CAROLINE KIMMEL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2022 |
| Last Updated: | 09/20/2022 |
Provider Practice Location
4455 NE HIGHWAY 20
CORVALLIS
OR
973309695
Practice Location Phone/Fax
| Phone: | 5417585900 |
| Fax: |
Provider Mailing Location
3415 SE POWELL BLVD
PORTLAND
OR
972023371
Provider Mailing Phone/Fax
| Phone: | 5032349591 |
| Fax: |