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Individual

AMANDA JAIME NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
10690 NE CORNELL RD STE 215, HILLSBORO, OR 97124-9224
(503) 216-5240
Mailing address
4442 SE NEHALEM ST, PORTLAND, OR 97206-0952
(971) 404-5171

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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