Individual
AMBER WICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2992 TESS AVE NE, SALEM, OR 97301-2815
(503) 383-1453
Mailing address
PO BOX 85, LEBANON, OR 97355-0085
(503) 383-1453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-IN-10251819
OR
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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