| Amber Caldera Therapy, Llc | |
|
101 E 8th St Ste 110 Vancouver WA 98660-3294 | |
| (503) 217-4030 | |
| Not Available |
| Full Name | Amber Caldera Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 E 8th St Ste 110, Vancouver, Washington |
| Authorized Official Name and Position | Amber Caldera (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5032174030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Caldera Therapy, Llc 10350 N Vancouver Way # 5166 Portland OR 97217-7530 Ph: () - | Amber Caldera Therapy, Llc 101 E 8th St Ste 110 Vancouver WA 98660-3294 Ph: (503) 217-4030 |
| NPI Number | 1043968597 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 3779923917 |
|---|---|
| Medicare Enrollment ID | O20240503003287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043968597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amber Lynn Caldera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427588839 PECOS PAC ID: 4688014822 Enrollment ID: I20240503003365 |
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