Individual
AMINA BACHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
117 NE CONIFER BLVD APT C, CORVALLIS, OR 97330-4185
(702) 858-5803
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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