Individual
KIMBERLY PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6950 SW HAMPTON ST STE 310, TIGARD, OR 97223-8332
(971) 200-5030
Mailing address
4110 SW VESTA ST, PORTLAND, OR 97219-7449
(503) 880-4563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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