Berger, Kaitlin Willoughby
Berger, Kaitlin Willoughby is an individual health care provider with primary practice located at 118 N Killingsworth St , Portland OR 97217-2435. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Berger, Kaitlin Willoughby can be contacted via phone (503) 288-4454.Contact Information
Primary practice address
118 N Killingsworth St
Portland OR 97217-2435
Phone: (503) 288-4454
Fax: (503) 288-1783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | LMT# 18506 | Oregon |
Profile Details
| NPI number | 1689945289 |
|---|---|
| LBN Legal business name | Berger, Kaitlin Willoughby |
| Credentials | L.M.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2012 |
| Last updated | Jan 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689945289 | NPPES |
| Oregon | Other | 18506 | LMT |
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