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Individual

AMBER MIA BANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
(503) 238-2004
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 501-5641
(503) 241-7419

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
201601510RN
OR

Other

Enumeration date
09/14/2017
Last updated
09/14/2017
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