Individual
AMBER L KANALLAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5291 NE ELAM YOUNG PKWY STE 160, HILLSBORO, OR 97124-7560
(503) 372-5147
(503) 650-4302
Mailing address
113 N ELM ST, CANBY, OR 97013-3519
(503) 263-8903
(503) 266-8632
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2020
Last updated
11/17/2021
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