Individual
AMBER LEIGH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-0885
Mailing address
4425 SE 35TH AVE, PORTLAND, OR 97202-3319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
OR
Other
Enumeration date
05/28/2008
Last updated
03/09/2022
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