Kincade, Kimberly Lynne

Kincade, Kimberly Lynne is an individual health care provider with primary practice located at 333 Ne Russell St Suite 204, Portland OR 97212-3762. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Kincade, Kimberly Lynne can be contacted via phone (503) 515-8711.

Contact Information

Primary practice address
333 Ne Russell St Suite 204 Portland OR 97212-3762
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X DEM-LD-10129435 Oregon
Other Service Providers / Midwife 176B00000X MW60272065 Washington

Profile Details

NPI number 1497996896
LBN Legal business name Kincade, Kimberly Lynne
Credentials CPM, LDM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2009
Last updated Jan 2nd, 2014 - about 11 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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