Individual
MADELINE AMMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 NE STUCKI AVE STE 308, BEAVERTON, OR 97006-6951
(971) 249-2149
(503) 809-8458
Mailing address
10350 N VANCOUVER WAY # 5338, PORTLAND, OR 97217-7530
(971) 249-2149
(503) 809-8458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11333
OR
Other
Enumeration date
09/05/2019
Last updated
07/25/2025
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