Individual
AMY OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 SW VARNS ST, TIGARD, OR 97223-8148
(503) 739-9348
Mailing address
3045 SW WESTWOOD DR, PORTLAND, OR 97225-4254
(503) 313-4373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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