Kushner Dominguez, Kimberly

Kushner Dominguez, Kimberly is an sole proprietor health care provider with primary practice located at 4375 Ne Riverside Loop , Mcminnville OR 97128-8433. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kushner Dominguez, Kimberly can be contacted via phone (484) 684-4765.

Contact Information

Primary practice address
4375 Ne Riverside Loop Mcminnville OR 97128-8433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1053718411
LBN Legal business name Kushner Dominguez, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2014
Last updated Dec 1st, 2014 - about 10 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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