Individual
MS. KIMBERLY D. OVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 575-8061
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 575-8061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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