Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kimberly Tai Wise, DEM

Individual provider Midwife · NPI 1134411788

Mrs. Kimberly Tai Wise, DEM is a Midwife in Lebanon, Oregon. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

966 Cleveland St
Lebanon, OR 97355-4422
Phone: (541) 401-1667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X

Record details

NPI number1134411788
Entity typeIndividual (Type 1)
GenderFemale
Credentials DEM
Sole proprietorYes
NPI enumeratedMay 13, 2011
Last updated in NPPESMay 13, 2011

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