Sperry, Kim David

Sperry, Kim David is an individual health care provider with primary practice located at 412 Sw 12Th Ave , Portland OR 97205-2329. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sperry, Kim David can be contacted via phone (503) 228-7134.

Contact Information

Primary practice address
412 Sw 12Th Ave Portland OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 445-0749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 83038439RN Oregon

Profile Details

NPI number 1164577524
LBN Legal business name Sperry, Kim David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Feb 5th, 2009 - about 17 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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