Individual
KIMBERLY ANN JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 SW YAMHILL ST STE 300, PORTLAND, OR 97204-3316
(503) 878-8885
(971) 297-1360
Mailing address
65 SW YAMHILL ST STE 300, PORTLAND, OR 97204-3316
(503) 523-0296
(503) 523-0296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A15306
OR
1041C0700X
Clinical Social Worker
SC61557302
WA
Other
Enumeration date
10/07/2022
Last updated
10/24/2024
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