Individual
GRACE ELLEN BAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
517 OCEAN VIEW DRIVE, GLENEDEN BEACH, OR 97388
(541) 868-5074
Mailing address
PO BOX 521, GLENEDEN BCH, OR 97388-0521
(541) 868-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4607
OR
Other
Enumeration date
05/03/2007
Last updated
11/13/2025
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