IndividualActive
Kimberly Kincade, CPM, LDM
NPI 1497996896 · Midwife · Portland, OR
Provider details
- NPI number
- 1497996896
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- CPM, LDM
- Sex
- Female
- Sole proprietor
- No
- License
- DEM-LD-10129435 (OR)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
333 Ne Russell St
Suite 204
Portland, OR 97212-3762
Phone: (503) 515-8711
Approximate (ZIP-level) locationGet directions
Mailing address
333 Ne Russell St
Portland, OR 97212-3762
Registry dates
- Enumerated
- 2009-03-13
- Last updated
- 2014-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.