Individual
MISS AMBER APRIL BROIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17720 NE HALSEY ST STE A, PORTLAND, OR 97230-6771
(503) 654-7654
(503) 654-7333
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
01/05/2023
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