Individual
AMANDA BERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/17/2022
Last updated
05/18/2022
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