Individual
ERICKA KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, LISW
Contact information
Practice address
1800 SW 6TH AVE, PORTLAND, OR 97201-5204
(503) 725-5299
Mailing address
4141 N WILLIAMS AVE APT W214, PORTLAND, OR 97217-2988
(952) 200-2519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7914
OR
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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