Fairbanks, Kimberly
Fairbanks, Kimberly is an sole proprietor health care provider with primary practice located at 14141 Se Market St , Portland OR 97233-2351. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Fairbanks, Kimberly can be contacted via phone (503) 334-7710.Contact Information
Primary practice address
14141 Se Market St
Portland OR 97233-2351
Phone: (503) 334-7710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | A0078 | Oregon |
Profile Details
| NPI number | 1598351744 |
|---|---|
| LBN Legal business name | Fairbanks, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2020 |
| Last updated | Dec 11th, 2020 - about 4 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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