Individual
DR. AMANDA JAN BOHLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3512 SE 9TH AVE APT A, PORTLAND, OR 97202-2761
(617) 834-7503
Mailing address
3512 SE 9TH AVE APT A, PORTLAND, OR 97202-2761
(617) 834-7503
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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