Hyam, Kimberly R
Hyam, Kimberly R is an sole proprietor health care provider with primary practice located at 9700 Sw Beaverton Hillsdale Hwy , Beaverton OR 97005-3306. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Hyam, Kimberly R can be contacted via phone (503) 626-9494.Contact Information
Primary practice address
9700 Sw Beaverton Hillsdale Hwy
Beaverton OR 97005-3306
Phone: (503) 626-9494
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1346375037 |
---|---|
LBN Legal business name | Hyam, Kimberly R |
Credentials | LCSW, MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 2007 |
Last updated | Aug 2nd, 2010 - about 15 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 | 1346375037 | NPPES |
Oregon | Other | R0000WDBCH | MEDICARE GROUP |
Oregon | MEDICAID | 164936 | MEDICARE GROUP |
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