Individual
MS. KIMBERLY A CONROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADC-1
Contact information
Practice address
818 NW 17TH AVE, SUITE 1, PORTLAND, OR 97209-2327
(503) 248-0011
(503) 233-3883
Mailing address
1552 N SIMPSON ST, PORTLAND, OR 97217-4653
(503) 422-1789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2131
OR
Other
Enumeration date
02/02/2007
Last updated
08/11/2014
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