Individual
KIMBERLY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4423 N BORTHWICK AVE, PORTLAND, OR 97217-3019
(503) 789-0671
Mailing address
4423 N BORTHWICK AVE, PORTLAND, OR 97217-3019
(503) 789-0671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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