Individual
MS. AMANDA C BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4531 SE BELMONT ST STE 300, PORTLAND, OR 97215-1675
(503) 558-4888
Mailing address
3433 SE BELMONT ST APT 2, PORTLAND, OR 97214-4286
(541) 944-4330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5326
OR
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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