Smith Daly, Kimberley Lynne

Smith Daly, Kimberley Lynne is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith Daly, Kimberley Lynne can be contacted via phone (503) 571-9240.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 571-9240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X 001409 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X BC-DMT-1131 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C5011 Oregon

Profile Details

NPI number 1134407299
LBN Legal business name Smith Daly, Kimberley Lynne
Credentials BC-DMT, CADC-R, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Mar 29th, 2024 - about 8 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 1134407299 NPPES
Oregon Other C5011 OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS

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