Individual
AMANDA C BOSSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Mailing address
PO BOX 3396, PORTLAND, OR 97208-3396
(503) 216-2380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6268
OR
Other
Enumeration date
06/01/2016
Last updated
12/05/2023
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