Individual
AMY J NORTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
63360 NW BRITTA STREET, BLDG 1, BEND, OR 97703
(541) 316-0269
Mailing address
63360 BRITTA ST STE 1, BEND, OR 97701-9475
(541) 316-0269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22-06-30037
OR
101YP2500X
Professional Counselor
Primary
C2134
OR
Other
Enumeration date
10/10/2012
Last updated
04/13/2023
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