Individual
AMY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10373 NE HANCOCK ST STE 200, PORTLAND, OR 97220-3873
(503) 253-6754
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
12/10/2021
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