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
Phone: (503) 307-9894
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114169901 | NPPES |
Oregon | Other | 15772 | OREGON MASSAGE BOARD |
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