| Amy Robben, Lcsw, Llc | |
|
2306 Ne Glisan St Portland OR 97232-2392 | |
| (503) 913-5846 | |
| Not Available |
| Full Name | Amy Robben, Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2306 Ne Glisan St, Portland, Oregon |
| Authorized Official Name and Position | Amy G Robben (OWNER) |
| Authorized Official Contact | 5039135846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Robben, Lcsw, Llc 2306 Ne Glisan St Portland OR 97232-2392 Ph: (503) 913-5846 | Amy Robben, Lcsw, Llc 2306 Ne Glisan St Portland OR 97232-2392 Ph: (503) 913-5846 |
| NPI Number | 1366741514 |
|---|---|
| Provider Enumeration Date | 03/26/2011 |
| Last Update Date | 03/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366741514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L4641 (Oregon) | Primary |
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