Individual provider · Type 1 NPI

Amanda Burkholder

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1972083186 Active

Practice location

1427 SE 182nd Ave
Portland, OR 97233-5008

Call (503) 465-9795 Map

Fax (503) 492-7379

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972083186

Amanda Burkholder's National Provider Identifier is 1972083186, issued on Aug 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 16, 2018.