Individual
MS. AMY BETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS,CHW, PWS
Contact information
Practice address
3735 SE SHERMAN ST, PORTLAND, OR 97214-5855
(971) 271-7182
Mailing address
3735 SE SHERMAN ST, PORTLAND, OR 97214-5855
(971) 271-7182
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
OR
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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