Individual
MRS. JENNIFER CATHERINE BIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC I
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-5298
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-5298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-09-89U3
OR
1041C0700X
Clinical Social Worker
Primary
L5347
OR
Other
Enumeration date
06/21/2009
Last updated
07/05/2013
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