Provider Demographics
NPI:1982754636
Name:KERKMANN, BARBARA CHRISTINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CHRISTINE
Last Name:KERKMANN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2552 S LYDIA LOOP
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OR
Mailing Address - Zip Code:97032-9114
Mailing Address - Country:US
Mailing Address - Phone:435-752-9065
Mailing Address - Fax:
Practice Address - Street 1:12720 SW 3RD STREET
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005
Practice Address - Country:US
Practice Address - Phone:503-620-1191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1683106H00000X
UT370730-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist