Individual
MRS. AMBER JOHNSON BABAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 SE BALFOUR ST, MILWAUKIE, OR 97222-6426
(503) 659-2575
(503) 659-5182
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04062017107577
—
OR
Enumeration date
04/06/2017
Last updated
02/09/2022
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