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1891003679
KIMBERLEY ANDERSON
PORTLAND, OR
NPI
1891003679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 200841940RN)
Enumeration Date
2010-09-15
Last Update Date
2016-05-26
Business Address
-- KIMBERLEY ANDERSON RN, BSN, QMHP
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- KIMBERLEY ANDERSON RN, BSN, QMHP
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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