Dr Kimberly D Queen, DC, CNS, DACBN is a
Nutritionist based in Portland, Oregon. Dr Kimberly D Queen is licensed to practice in Oregon (license number 17105) and her current practice location is
9020 Sw Washington Square Rd, Ste 500, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 291-7155.
NPI number for Dr Kimberly D Queen is 1710985486 and her current mailing address is 9020 Sw Washington Square Rd, Ste 500, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710985486.
Healthcare Provider's Profile
Full Name | Dr Kimberly D Queen |
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Gender | Female |
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Speciality | Nutritionist |
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Location | 9020 Sw Washington Square Rd, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710985486
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 02/19/2017
Medical Identifiers
Medical identifiers for Dr Kimberly D Queen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710985486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3106 (Oregon) | Secondary |
111NN1001X | Chiropractor - Nutrition | 238 (Oregon) | Secondary |
133N00000X | Nutritionist | 17105 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly D Queen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kimberly D Queen, DC, CNS, DACBN 9020 Sw Washington Square Rd, Ste 500, Portland, OR 97223-4491 Ph: (503) 291-7155 | Dr Kimberly D Queen, DC, CNS, DACBN 9020 Sw Washington Square Rd, Ste 500, Portland, OR 97223-4491 Ph: (503) 291-7155 |
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