Anderson, Kimberly Marie

Anderson, Kimberly Marie is an individual health care provider with primary practice located at 2200 E Ellendale Ave , Dallas OR 97338-9353. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Anderson, Kimberly Marie can be contacted via phone (503) 623-5588.

Contact Information

Primary practice address
2200 E Ellendale Ave Dallas OR 97338-9353
Phone: (503) 623-5588
Fax: (503) 623-4729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1649396797
LBN Legal business name Anderson, Kimberly Marie
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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