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Individual

AMY KAEHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
3181 NE 23RD ST APT M282, GRESHAM, OR 97030-4360
(574) 457-9052

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/21/2020
Last updated
12/21/2020
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