Individual
DR. KIMRA K ROUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13908 SE STARK ST STE A, PORTLAND, OR 97233-2161
(503) 255-2343
(503) 255-2344
Mailing address
13908 SE STARK ST STE A, PORTLAND, OR 97233-2161
(503) 255-2343
(503) 255-2344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RPS2012267
CA
103TC0700X
Clinical Psychologist
Primary
3166
OR
Other
Enumeration date
07/30/2007
Last updated
11/13/2023
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