Forrest, Kimberly

Forrest, Kimberly is an individual health care provider with primary practice located at 4101 Ne Division St , Gresham OR 97030-4617. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Forrest, Kimberly can be contacted via phone (503) 666-6575.

Contact Information

Primary practice address
4101 Ne Division St Gresham OR 97030-4617
Phone: (503) 666-6575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1699154682
LBN Legal business name Forrest, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2015
Last updated May 22nd, 2015 - about 10 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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