Individual provider · Type 1 NPI

Kimberly Dawn Payne, LMT

Specialist · Portland, OR

NPI number 1790754372 Active

Practice location

4475 SW Scholls Ferry Rd, Ste 201
Portland, OR 97225-1955

Call (503) 516-7938 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X8152 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790754372

Kimberly Dawn Payne, LMT's National Provider Identifier is 1790754372, issued on Mar 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Nov 20, 2008.