Queen, Kimberly D
Queen, Kimberly D is an sole proprietor health care provider with primary practice located at 9020 Sw Washington Square Rd Ste 500, Portland OR 97223-4491. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Queen, Kimberly D can be contacted via phone (503) 291-7155.Contact Information
Primary practice address
9020 Sw Washington Square Rd Ste 500
Portland OR 97223-4491
Phone: (503) 291-7155
Fax: (503) 291-7152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3106 | Oregon |
| Chiropractic Providers / Nutrition | 111NN1001X | 238 | Oregon |
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 17105 | Oregon |
Profile Details
| NPI number | 1710985486 |
|---|---|
| LBN Legal business name | Queen, Kimberly D |
| Credentials | DC, CNS, DACBN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Feb 19th, 2017 - about 9 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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