Johnson, Kimberly Ann

Johnson, Kimberly Ann is an individual health care provider with primary practice located at 1314 Ne Grand Ave , Portland OR 97232-1127. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Johnson, Kimberly Ann can be contacted via phone (503) 280-2877.

Contact Information

Primary practice address
1314 Ne Grand Ave Portland OR 97232-1127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H3114 Oregon
Dental Providers / Dental Hygienist 124Q00000X HL00007793 Washington

Profile Details

NPI number 1366651887
LBN Legal business name Johnson, Kimberly Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 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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