Individual
MRS. AMY MARIE DOERFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
(503) 585-4965
Mailing address
5955 TRAIL AVE NE APT 103, KEIZER, OR 97303-4069
(503) 269-4162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
171WH0202X
Home Modifications Contractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265634646
PSYCHIATRIC CRISIS CENTER
OR
Enumeration date
06/05/2007
Last updated
06/30/2019
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