Jolley, Kimberly Suzanne
Jolley, Kimberly Suzanne is an individual health care provider with primary practice located at 15290 Sw Royalty Pkwy , Tigard OR 97224-4059. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jolley, Kimberly Suzanne can be contacted via phone (971) 256-4050.Contact Information
Primary practice address
15290 Sw Royalty Pkwy
Tigard OR 97224-4059
Phone: (971) 256-4050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1336798883 |
|---|---|
| LBN Legal business name | Jolley, Kimberly Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2019 |
| Last updated | Sep 7th, 2019 - about 6 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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