KIMBERLY FAIRBANKS NPI 1598351744

NPI Information

  • NPI: 1598351744
  • Provider Name: KIMBERLY FAIRBANKS
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 14141 SE MARKET ST
    PORTLAND, OR
    ZIP 97233
  • Phone: (503) 334-7710

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NPI Details

Kimberly Fairbanks is a speech-language assistant specialist technologist in Portland, OR. Kimberly Fairbanks NPI is 1598351744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14141 SE MARKET ST
PORTLAND, OR
ZIP 97233-351
Phone: (503) 334-7710

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12355S0801XSpecialist/TechnologistSpeech-Language AssistantA0078OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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