Individual
MRS. AMY LEANN PFUNDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LCSW
Contact information
Practice address
17070 SE PINE CONE LN, MILWAUKIE, OR 97267-5609
(503) 806-7781
Mailing address
17070 SE PINE CONE LN, MILWAUKIE, OR 97267-5609
(503) 806-7781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3500
OR
1041C0700X
Clinical Social Worker
LW00007579
WA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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