Individual
KIMBERLY GAMBLE MARRIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4036 NE SANDY BLVD, STE 206, PORTLAND, OR 97212-5335
(503) 502-2256
(503) 297-1071
Mailing address
4036 NE SANDY BLVD STE 206, PORTLAND, OR 97212-5335
(503) 297-2287
(503) 297-1071
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1189
OR
Other
Enumeration date
11/09/2006
Last updated
10/01/2016
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