Individual
AMY ALTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3333 NE SANDY BLVD STE 203, PORTLAND, OR 97232-1854
(503) 782-5247
Mailing address
1615 N KILLINGSWORTH ST, PORTLAND, OR 97217-4545
(503) 782-5247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1638
OR
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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