KEMAL JEROME ISHAQ

PORTLAND, OR
NPI1831032879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  Pre-Licensed)
Enumeration Date2026-04-13
Last Update Date2026-04-13
Business Address
KEMAL JEROME ISHAQ MSW
1430 NW HOYT ST APT 510
PORTLAND, OR 97209-2284
Phone number: 541-975-3868
Mailing Address
KEMAL JEROME ISHAQ MSW
1430 NW HOYT ST APT 510
PORTLAND, OR 97209-2284
Phone number: 541-975-3868