Individual
MRS. BAMBI DIANE STRAUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LMHC
Contact information
Practice address
7507 NE 51ST ST, VANCOUVER, WA 98662-6007
(360) 906-1190
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
MEDICARE
WA
05
—
164936
—
OR
Enumeration date
11/19/2010
Last updated
11/14/2012
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