Fanning, Kimberly

Fanning, Kimberly is an individual health care provider with primary practice located at 3034 Ne Mlk , Portland OR 97212-3053. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Fanning, Kimberly can be contacted via phone (503) 889-2523.

Contact Information

Primary practice address
3034 Ne Mlk Portland OR 97212-3053
Phone: (503) 889-2523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1265612808
LBN Legal business name Fanning, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2007
Last updated Nov 12th, 2007 - about 18 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.

Request for update

Popular Providers