Rosen, Kimberly Dawn
Rosen, Kimberly Dawn is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Rosen, Kimberly Dawn can be contacted via phone (971) 203-1316.Contact Information
Primary practice address
58646 Mcnulty Way
Saint Helens OR 97051-6210
Phone: (971) 203-1316
Fax: (503) 397-5373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 20-CRM-161 | Oregon |
Profile Details
| NPI number | 1932717832 |
|---|---|
| LBN Legal business name | Rosen, Kimberly Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2020 |
| Last updated | Oct 24th, 2022 - about 3 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 | 1932717832 | NPPES |
| Oregon | Other | 20-CRM-161 | CERTIFIED RECOVERY MENTOR |
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