Tabor, Kimberly

Tabor, Kimberly is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tabor, Kimberly can be contacted via phone (541) 492-0241.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Fax: (541) 492-0241
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17-P-14 Oregon

Profile Details

NPI number 1699286369
LBN Legal business name Tabor, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2017
Last updated Oct 20th, 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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