Individual
AMANDA BOMPENSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(215) 913-1558
Mailing address
2350 SE 42ND AVE, PORTLAND, OR 97215-3706
(215) 913-1558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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