Individual
AMBER PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4246 SE BELMONT ST, SUITE #5, PORTLAND, OR 97215-1676
(503) 445-8114
Mailing address
1904 SE 49TH AVE, PORTLAND, OR 97215-3229
(503) 867-3146
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
16158
OR
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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