Individual
ANIKA AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214
(503) 239-8400
(503) 239-8407
Mailing address
2738 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
A14569
OR
Other
Enumeration date
08/29/2017
Last updated
01/24/2024
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