Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Kimball

Individual provider Adult Companion · NPI 1275665572

Justin Kimball is an Adult Companion in Milwaukie, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

12408 SE Fuller Rd
Milwaukie, OR 97222-1245
Phone: (503) 206-9631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1275665572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007
Mailing address12408 Se Fuller Rd, Milwaukie, OR 97222-1245

Other providers in Milwaukie