Individual
SHIRLEY J KIMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1730 NE 42ND AVE, PORTLAND, OR 97213-1527
(503) 287-5793
Mailing address
1730 NE 42ND AVE, PORTLAND, OR 97213-1527
(503) 287-5793
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0603
OR
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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