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
Phone: (503) 280-2877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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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