Individual
DR. AMANDA D BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
071008473
IL
103TC0700X
Clinical Psychologist
Primary
2685
OR
Other
Enumeration date
10/25/2010
Last updated
01/11/2023
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