Scott, Kimberley J.

Scott, Kimberley J. is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Ste 300 , Portland OR 97225-6689. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Scott, Kimberley J. can be contacted via phone (503) 297-8081.

Contact Information

Primary practice address
9701 Sw Barnes Rd Ste 300 Portland OR 97225-6689
Phone: (503) 297-8081
Fax: (503) 292-6601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6382 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA204268 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1386613883
LBN Legal business name Scott, Kimberley J.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 2nd, 2024 - about 5 months 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 1386613883 NPPES
Washington Other 0207736 LABOR & IND
Washington Other 8941182 LABOR & IND
Washington MEDICAID 500604767 LABOR & IND
Washington MEDICAID 8450082 LABOR & IND
Washington Other P00336906 LABOR & IND

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