Individual
JUSTIN KEMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
9600 SW OAK ST STE 500&520, TIGARD, OR 97223-6583
(971) 364-8069
Mailing address
4535 60TH AVE NE, SALEM, OR 97305-3710
(503) 302-9416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24-QMHP-R-2873
OR
Other
Enumeration date
05/08/2024
Last updated
06/26/2024
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