Individual
AMANDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Mailing address
3107 SE MALCOLM ST, MILWAUKIE, OR 97222-6481
(253) 503-9554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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