Search › Oregon › 2355S0801X
Kimberly Fairbanks
NPI 1598351744 · on the registry since 2020 · sole proprietor
Practice
- Address
- 14141 Se Market St
Portland, OR 97233 - Phone
- (503) 334-7710
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon