Individual
MRS. AMANDA BROOKE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7527
Mailing address
12215 BALLSTON RD, AMITY, OR 97101-9517
(971) 312-3992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23-06-10792
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/31/2022
Last updated
01/22/2025
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