Individual
MISS AMADA L JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1292 HIGH ST # 1176, EUGENE, OR 97401-3238
(541) 631-0848
Mailing address
1292 HIGH ST # 1176, EUGENE, OR 97401-3238
(541) 631-0848
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
HI
103TC0700X
Clinical Psychologist
Primary
3316
OR
Other
Enumeration date
03/25/2013
Last updated
09/16/2024
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