JUSTIN KIMBALL
NPI 1275665572
Adult Companion in Milwaukie, OR

Q: What is Justin Kimball's NPI number?

The NPI number for Justin Kimball is 1275665572. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Justin Kimball's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Kimball was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2007

12408 SE FULLER RD, MILWAUKIE, OR 97222(503) 206-9631 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Justin Kimball NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN KIMBALL (NPI 1275665572) is an individual adult companion provider in Milwaukie, Oregon and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1275665572

Entity TypeIndividualMale

Primary Taxonomy372600000X

Provider Legal NameJUSTIN KIMBALL

Location Address12408 SE FULLER RDMilwaukie, OR 97222-1245

Mailing Address12408 Se Fuller RdMilwaukie, OR 97222-1245 · (503) 206-9631

Phone(503) 206-9631

Sole ProprietorYes

Enumeration DateMarch 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275665572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

12408 SE FULLER RD, Milwaukie, OR 97222

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Kimball's NPI number?

The NPI number for Justin Kimball is 1275665572. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Justin Kimball located?

Justin Kimball practices at 12408 SE Fuller Rd, Milwaukie, OR 97222. The listed phone number is (503) 206-9631.

What is Justin Kimball's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Justin Kimball was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.