Goodale, Kimberly R
Goodale, Kimberly R is an individual health care provider with primary practice located at 1975 Nw 167Th Pl Ste 100-4 , Beaverton OR 97006-4908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goodale, Kimberly R can be contacted via phone (503) 500-5610.Contact Information
Primary practice address
1975 Nw 167Th Pl Ste 100-4
Beaverton OR 97006-4908
Phone: (503) 500-5610
Fax: (503) 500-5650
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Health | 103TH0004X | 1743 | Oregon |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1743 | Oregon |
Profile Details
NPI number | 1427260249 |
---|---|
LBN Legal business name | Goodale, Kimberly R |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2007 |
Last updated | Feb 25th, 2022 - about 3 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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