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Individual

ILECZANDRIA K AMADOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
425 ALEXANDER LOOP, EUGENE, OR 97401-6524
(541) 345-6199
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
225X00000X
Occupational Therapist
Primary
352011
OR

Other

Enumeration date
04/25/2012
Last updated
01/04/2016
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