Individual
MRS. AMY COLLEEN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
712 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3538
(503) 860-9214
Mailing address
712 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3538
(503) 860-9214
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3386
OR
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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