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

Individual provider Speech-Language Assistant · NPI 1598351744

Kimberly Fairbanks is a Speech-Language Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
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Practice location Address checks out

14141 SE Market St
Portland, OR 97233-2351
Phone: (503) 334-7710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence A0078 (OR)

Record details

NPI number1598351744
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2020
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

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