Individual
AMANDA WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
610 HIGH ST, OREGON CITY, OR 97045
(503) 372-5147
(503) 650-4302
Mailing address
113 N ELM ST, CANBY, OR 97013-3519
(503) 263-8903
(503) 266-8632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
23-QMHP-R-1806
OR
175F00000X
Naturopath
Primary
3022
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-QMHP-R-1806
MHACBO
OR
Enumeration date
10/01/2015
Last updated
03/07/2023
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