Individual
MS. KIMBERLY ANN SIEFFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9409
Mailing address
211 SE 143RD AVE, PORTLAND, OR 97233-2115
(503) 894-2880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-R-17
OR
Other
Enumeration date
04/07/2012
Last updated
04/07/2012
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