Individual provider · Type 1 NPI

David Levi-Kimbrough, QMHA-R

Mental Health Counselor · Portland, OR

NPI number 1295402790 Active

Practice location

3636 NE Broadway St
Portland, OR 97232-1823

Call (503) 548-0346 Map

Fax (503) 232-5959

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X26-QMHA-R-8723 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1295402790

David Levi-Kimbrough, QMHA-R's National Provider Identifier is 1295402790, issued on Aug 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2026.