Wayson, Kim A

Wayson, Kim A is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 440, Portland OR 97225-6625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wayson, Kim A can be contacted via phone (503) 297-3766.

Contact Information

Primary practice address
9155 Sw Barnes Rd Suite 440 Portland OR 97225-6625
Phone: (503) 297-3766
Fax: (503) 296-1168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD13269 Oregon

Profile Details

NPI number 1124014956
LBN Legal business name Wayson, Kim A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124014956 NPPES
Oregon MEDICAID 155754

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