Provider Demographics
NPI:1851784250
Name:KUMAR THERAPY
Entity Type:Organization
Organization Name:KUMAR THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:971-277-1027
Mailing Address - Street 1:3050 SE DIVISION ST.
Mailing Address - Street 2:SUITE 260
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1451
Mailing Address - Country:US
Mailing Address - Phone:971-277-1027
Mailing Address - Fax:
Practice Address - Street 1:3050 SE DIVISION ST.
Practice Address - Street 2:SUITE 260
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1451
Practice Address - Country:US
Practice Address - Phone:971-277-1027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3405101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty