Provider Demographics
NPI:1669663266
Name:ZIMMERMAN, KARI A (ND)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 MAY ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1345
Mailing Address - Country:US
Mailing Address - Phone:541-386-6335
Mailing Address - Fax:541-386-8864
Practice Address - Street 1:1312 MAY ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1345
Practice Address - Country:US
Practice Address - Phone:541-386-6335
Practice Address - Fax:541-386-8864
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001566175F00000X
OR1734175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath