Kimball, Michelle Lynn

Kimball, Michelle Lynn is an individual health care provider with primary practice located at 185 N 4Th St , Saint Helens OR 97051-1535. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Kimball, Michelle Lynn can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
185 N 4Th St Saint Helens OR 97051-1535
Phone: (503) 397-5211
Fax: (503) 397-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1730370487
LBN Legal business name Kimball, Michelle Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Apr 15th, 2008 - about 16 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 1730370487 NPPES
Oregon MEDICAID 195164

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