Kimball, Justin

Kimball, Justin is an sole proprietor health care provider with primary practice located at 12408 Se Fuller Rd , Milwaukie OR 97222-1245. He recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as his primary health care specialty. Kimball, Justin can be contacted via phone (503) 206-9631.

Contact Information

Primary practice address
12408 Se Fuller Rd Milwaukie OR 97222-1245
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1275665572
LBN Legal business name Kimball, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 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.

Request for update

Popular Providers