Provider Demographics
NPI:1851801989
Name:KUMP, TONYA K (LCSW)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:K
Last Name:KUMP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:K
Other - Last Name:BLOOMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:541-732-8300
Mailing Address - Fax:
Practice Address - Street 1:1661 HIGHWAY 99 N BLDG A
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-8900
Practice Address - Country:US
Practice Address - Phone:541-732-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health