Taylor, Kimberly Misako

Taylor, Kimberly Misako is an individual health care provider with primary practice located at 1900 Mcloughlin Blvd Ste 68 , Oregon City OR 97045-1072. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Taylor, Kimberly Misako can be contacted via phone (503) 387-8000.

Contact Information

Primary practice address
1900 Mcloughlin Blvd Ste 68 Oregon City OR 97045-1072
Fax: (503) 387-8005
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1841572716
LBN Legal business name Taylor, Kimberly Misako
Credentials EFDA, EFODA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841572716 NPPES
Oregon Other 126800000X PTDA

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