Individual
AMY NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
Mailing address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-23-2929
OR
101YM0800X
Mental Health Counselor
Primary
R9305
OR
Other
Enumeration date
05/23/2024
Last updated
06/04/2024
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