Wayson, Kim A
Wayson, Kim A is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 440, Portland OR 97225-6625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wayson, Kim A can be contacted via phone (503) 297-3766.Contact Information
Primary practice address
9155 Sw Barnes Rd Suite 440
Portland OR 97225-6625
Phone: (503) 297-3766
Fax: (503) 296-1168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD13269 | Oregon |
Profile Details
| NPI number | 1124014956 |
|---|---|
| LBN Legal business name | Wayson, Kim A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1124014956 | NPPES |
| Oregon | MEDICAID | 155754 |
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