Kimberly Reed, QMHP, LCSW
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1861690968
StatusActive
Last updated in NPPESJul 1, 2020
Details
- NPI
- 1861690968
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Reed
- Credential
- QMHP, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2007
- Certification date
- Jul 1, 2020
- Last updated
- Jul 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 8363 | OR | Yes |
Practice location
2415 Se 43rd 43rd Ave.Suite 200
Portland, OR 97206
Phone 503-402-8116
Mailing address
6415 Se Raymond StPortland, OR 97206-4670
Phone 971-238-9747
Other practice locations
6018 Se Stark St
Portland, OR 97215-1990
Portland, OR 97215-1990
Phone 503-960-7025
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