Individual provider · Type 1 NPI

Kimberley Anderson, RN, BSN, QMHP

Mental Health Counselor · Portland, OR

NPI number 1891003679 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Fax (503) 552-6208

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X200841940RN (OR)

Mental Health Counselor: Definition to come...

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About NPI 1891003679

Kimberley Anderson, RN, BSN, QMHP's National Provider Identifier is 1891003679, issued on Sep 15, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 26, 2016.