Provider Demographics
NPI:1184045700
Name:KINMAN, LINDSAY (CPM, LDM)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:KINMAN
Suffix:
Gender:F
Credentials:CPM, LDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-1402
Mailing Address - Country:US
Mailing Address - Phone:503-873-4777
Mailing Address - Fax:503-874-1485
Practice Address - Street 1:502 N 1ST ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1402
Practice Address - Country:US
Practice Address - Phone:503-873-4777
Practice Address - Fax:503-874-1485
Is Sole Proprietor?:No
Enumeration Date:2013-12-27
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEMLD10173184176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife