Individual provider · Type 1 NPI

Amber April Broide

Mental Health Counselor · Portland, OR

NPI number 1467186015 Active

Practice location

17720 NE Halsey St Ste A
Portland, OR 97230-6771

Call (503) 654-7654 Map

Fax (503) 654-7333

Mailing address

8915 SW Center St
Tigard, OR 97223-6307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467186015

Amber April Broide's National Provider Identifier is 1467186015, issued on Jul 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 5, 2023.