Kimberly Fairbanks (NPI# 1598351744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1598351744 |
| Entity Type | Individual |
| Full Name | Kimberly Fairbanks |
| Gender | Female |
| Practice Address |
14141 Se Market St Portland OR 97233-2351 |
| Practice Telephone | 5033347710 |
| Mailing Address |
14141 Se Market St Portland OR 97233-2351 |
| Mailing Telephone | 5033347710 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 2355S0801X | Specialist/Technologist · Speech-Language Assistant | Speech, Language and Hearing Service Providers | A0078 | OR |
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295184638 | Alyssa Rose Unikewicz | Specialist/Technologist | 5 Allison Drive, Portland, CT 06480 | 2016-06-07 |
| 1356630016 | Shannon Huckaby | Specialist/Technologist | 30 Libby St, Portland, ME 04103-1925 | 2011-04-04 |
| 1265038343 | Amy Leanne Garee | Specialist/Technologist | 1246 Sw Falcon St, Portland, OR 97219-4341 | 2020-12-05 |
| 1033665708 | Elin Bishop | Specialist/Technologist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-08-31 |
| 1346584455 | Franchesca Mecolah Moore | Specialist/Technologist | 121 Sw Salmon St Fl 11, Portland, OR 97204-2908 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588227904 | Lisa M Baley | Specialist/Technologist | 3355 Fernwood Dr. #1131, Newberg, OR 97132-9713 | 2019-04-22 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1194377804 | Jessica Lush | Specialist/Technologist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2019-07-12 |
| 1184144628 | Cynthia Rivera Castaneda | Specialist/Technologist | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2017-06-26 |
| 1275053266 | Shealynna Wellman | Specialist/Technologist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-06-21 |
| 1487181871 | Nicole Wilkin | Specialist/Technologist | 2305 Se Washington St Ste 102, Milwaukie, OR 97222-7647 | 2017-05-16 |
| 1457898355 | Brieenna Bunkers | Specialist/Technologist | 7320 Sw Hunziker St, Suite 203, Tigard, OR 97223-8283 | 2017-01-30 |
| 1003260365 | Kristen Cotter | Specialist/Technologist | 37770 Upper Camp Creek Rd, Springfield, OR 97478-8753 | 2016-04-22 |
| 1700934049 | Kimberlee A Stevens | Specialist/Technologist | 1021 Nw Highland Ave, Grants Pass, OR 97526-1146 | 2007-01-05 |
| Street Address |
14141 SE MARKET ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavior Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.