Individual
DR. KIMBERLEY D DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
19250 SW 65TH AVE STE 300, TUALATIN, OR 97062-7707
(503) 692-1242
(503) 691-3615
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
9734
NE
106H00000X
Marriage & Family Therapist
Primary
T1550
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500705290
—
OR
Enumeration date
09/06/2012
Last updated
03/12/2020
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