Individual
MRS. AMANDA LYNN SMITHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 505-2911
Mailing address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 505-2911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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