Individual
C AMBER ROSE DULLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
5693 NW PACIFIC COAST HWY, SEAL ROCK, OR 97376-9638
(503) 810-4163
Mailing address
9159 NW EGRET ST, SEAL ROCK, OR 97376-9709
(503) 810-4163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L15948
OR
Other
Enumeration date
09/19/2022
Last updated
12/24/2024
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