Individual
SAM K KUMBULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5014 NE 15TH AVE, PORTLAND, OR 97211-4406
(503) 444-8214
Mailing address
16849 SW 131ST AVE, KING CITY, OR 97224-2291
(503) 444-8214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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