Individual
MRS. KIMBERLY JOY BUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5714 SE MILWAUKIE AVE # P5SWS, PORTLAND, OR 97202-4920
(971) 379-6065
Mailing address
5714 SE MILWAUKIE AVE, PORTLAND, OR 97202-4920
(971) 379-6065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A1566
OR
Other
Enumeration date
08/23/2006
Last updated
09/23/2022
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