Individual
MS. KINDI ELAINE BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1217 NE BURNSIDE RD, BUILDING B, SUITE 401, GRESHAM, OR 97030-6722
(503) 666-8832
(503) 669-8641
Mailing address
1217 NE BURNSIDE RD, BUILDING B, SUITE 401, GRESHAM, OR 97030-6722
(503) 666-8832
(503) 669-8641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/03/2007
Last updated
12/03/2007
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