MR. KIM SPERRY

Counselor - Mental Health

Active Individual
NPI: 1164577524

Practice Address

412 SW 12TH AVE
Portland, OR 97205

Phone: (503) 228-7134

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -
Registered Nurse - Psychiatric/Mental Health 163WP0808X No 83038439RN (OR)

Frequently Asked Questions

NPI 1164577524 is the National Provider Identifier for MR. KIM SPERRY, a Counselor - Mental Health provider located in Portland, OR. This NPI was enumerated on January 24, 2007.
MR. KIM SPERRY practices at 412 SW 12TH AVE, Portland, OR 97205.

Quick Facts

NPI
1164577524
Type
Individual
Enumerated
Jan 24, 2007
Last Updated
Feb 5, 2009

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