Individual provider · Type 1 NPI

Kimberly J. Woodworth, MS, LPC-INTERN, NCC

Mental Health Counselor · Portland, OR

NPI number 1639719735 Active

Practice location

2279 NW Irving St
Portland, OR 97210-3222

Mailing address

15789 SW Village Cir
Beaverton, OR 97007-3534

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR5698 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1639719735

Kimberly J. Woodworth, MS, LPC-INTERN, NCC's National Provider Identifier is 1639719735, issued on Jan 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 7, 2020.