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Contact Information

KIMBERLY ANN PRIVITERA, PC
8029 SE WOODSTOCK BLVD
PORTLAND, OR97206-5885
 Phone: 503-774-1776
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KIMBERLY ANN PRIVITERA, PC

NPI # 1184835274
LBN Legal business name KIMBERLY ANN PRIVITERA, PC
Authorized official KIMBERLY PRIVITERA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OR License # 273094
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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