Individual
AMBER ROSE LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 233-4356
Mailing address
6851 N FESSENDEN ST, 2, PORTLAND, OR 97203-1872
(774) 364-0440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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