Individual
AMANDA LYN BYRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13541 SE MARKET ST, PORTLAND, OR 97233-1752
(503) 963-7765
Mailing address
3038 E BURNSIDE ST, PORTLAND, OR 97214-1950
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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