Petros, Kimberly Ann

Petros, Kimberly Ann is an sole proprietor health care provider with primary practice located at 12350 Sw 5Th St Ste 100 , Beaverton OR 97005-2819. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Petros, Kimberly Ann can be contacted via phone (503) 627-9194.

Contact Information

Primary practice address
12350 Sw 5Th St Ste 100 Beaverton OR 97005-2819
Phone: (503) 627-9194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon

Profile Details

NPI number 1912279142
LBN Legal business name Petros, Kimberly Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 14 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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