Grady, Kimberly C

Grady, Kimberly C is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 495 , Portland OR 97225-6612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Grady, Kimberly C can be contacted via phone (503) 216-0990.

Contact Information

Primary practice address
9427 Sw Barnes Rd Ste 495 Portland OR 97225-6612
Phone: (503) 216-0990
Fax: (503) 962-1021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA179181 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA179181 Oregon

Profile Details

NPI number 1013466549
LBN Legal business name Grady, Kimberly C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2016
Last updated Jun 21st, 2024 - about last year

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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