Dr Kimra K Roundy, PSYD is a
Psychologist - Clinical based in Portland, Oregon. Dr Kimra K Roundy is licensed to practice in Oregon (license number 3166) and her current practice location is
13908 Se Stark St Ste A, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 255-2343.
NPI number for Dr Kimra K Roundy is 1518157072 and her current mailing address is 13908 Se Stark St Ste A, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518157072.
Healthcare Provider's Profile
Full Name | Dr Kimra K Roundy |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 13908 Se Stark St Ste A, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518157072
- Provider Enumeration Date: 07/30/2007
- Last Update Date: 11/13/2023
Medical Identifiers
Medical identifiers for Dr Kimra K Roundy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518157072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | RPS2012267 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 3166 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimra K Roundy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kimra K Roundy, PSYD 13908 Se Stark St Ste A, Portland, OR 97233-2161 Ph: (503) 255-2343 | Dr Kimra K Roundy, PSYD 13908 Se Stark St Ste A, Portland, OR 97233-2161 Ph: (503) 255-2343 |
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