Kimber L Jungwirth

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

10182400 Issued in OR

Practice address

929 NW Grant Ave
Corvallis, OR 97330-4503

Phone

(541) 223-8668

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1912787375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 ERMINE ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225728",
            "telephone_number": "541-223-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 NW GRANT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304503",
            "telephone_number": "541-223-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGWIRTH",
        "first_name": "KIMBER",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "OR",
            "license": "10182400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Joyner
• Monica Juarez
• Michaela Judah, LMFT
• Jasmine Judd
• Julia Riutzel
• Michael Baraldi Junkins, B.A.
• K Remedy LLC.
• Brysen William Kachel
• Alan Kadish, NMD, ND
• John Paul Kaesermann, ND, LAC, MSAOM

• Technician/Technologist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Technician/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.