Killingsworth, Brenda Kay

Killingsworth, Brenda Kay is an sole proprietor health care provider with primary practice located at 14925 Sw 133Rd Ave , Tigard OR 97224-1604. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Killingsworth, Brenda Kay can be contacted via phone (503) 307-9894.

Contact Information

Primary practice address
14925 Sw 133Rd Ave Tigard OR 97224-1604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15772 Oregon

Profile Details

NPI number 1114169901
LBN Legal business name Killingsworth, Brenda Kay
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2009
Last updated Mar 25th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114169901 NPPES
Oregon Other 15772 OREGON MASSAGE BOARD

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