Individual
KIMBERLY COPPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1020 SW TAYLOR ST STE 855, PORTLAND, OR 97205-2570
(971) 303-9636
(971) 200-2425
Mailing address
1020 SW TAYLOR ST STE 855, PORTLAND, OR 97205-2570
(971) 303-9636
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2869
OR
Other
Enumeration date
09/29/2011
Last updated
04/04/2024
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