Fuller, Kimberly Anne
Fuller, Kimberly Anne is an sole proprietor health care provider with primary practice located at 1217 Ne Burnside Rd Ste 502 , Gresham OR 97030-5770. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fuller, Kimberly Anne can be contacted via phone (503) 492-3910.Contact Information
Primary practice address
1217 Ne Burnside Rd Ste 502
Gresham OR 97030-5770
Phone: (503) 492-3910
Fax: (503) 492-3905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7606 | Oregon |
Profile Details
| NPI number | 1528198306 |
|---|---|
| LBN Legal business name | Fuller, Kimberly Anne |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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