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KIMBERLY J WOODWORTH MS, LPC-INTERN, NCC
NPI 1639719735
Counselor - Mental Health in Portland, OR

Active since January 07, 2020
2279 NW IRVING ST, PORTLAND, OR 97210(503) 575-5023 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly J Woodworth Ms, Lpc-intern, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY J WOODWORTH MS, LPC-INTERN, NCC (NPI 1639719735) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R5698) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1639719735
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY J WOODWORTHCredential: MS, LPC-INTERN, NCC
Location Address2279 NW IRVING STPortland, OR 97210-3222
Mailing Address15789 Sw Village CirBeaverton, OR 97007-3534
Phone(503) 575-5023
Sole ProprietorNo
Enumeration DateJanuary 7, 2020
✔ NPI 1639719735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R5698
2279 NW IRVING ST, Portland, OR 97210
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANDREW LEE SUMMERER PSYD
Psychologist (Clinical)
2279 NW IRVING ST
PORTLAND, OR 97210
Multnomah County (503) 218-3667
MISS KATHERINE LUTHER STARBIRD L.AC.
Acupuncturist
2279 NW IRVING ST
PORTLAND, OR 97210
Multnomah County (503) 222-1668
DR. KATHERINE DEGENHARDT PHD
Psychologist (Clinical)
2279 NW IRVING ST
PORTLAND, OR 97210
Multnomah County (503) 893-9020
GARRICK DUCKLER, LLC
Clinic/Center (Adult Mental Health)
2279 NW IRVING ST
PORTLAND, OR 97210
Multnomah County (415) 706-9745
GARRICK LINDEN DUCKLER MFT
Counselor (Mental Health)
2279 NW IRVING ST
PORTLAND, OR 97210
Multnomah County (415) 706-9745
INTERPERSONAL GROWTH ORGANIZATION, LLC
Counselor (Mental Health)
2279 NW IRVING ST
PORTLAND, OR 97210
Multnomah County (541) 602-3536
STACY LAWHEAD MA, LPC, NCC
Counselor (Professional)
2279 NW IRVING ST
PORTLAND, OR 97210
Multnomah County (541) 602-3536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Woodworth's NPI number?

The NPI number for Kimberly Woodworth is 1639719735. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Kimberly Woodworth located?

Kimberly Woodworth practices at 2279 NW Irving St, Portland, OR 97210. The listed phone number is (503) 575-5023.

What is Kimberly Woodworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Woodworth was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.