Doctor Name: | MS. AMANDA KELLEY CURTIS |
NPI Number: | 1144367269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, CADC-I |
License Number: | CADC-I |
Business Practice Address: | 24499 Sw Grahams Ferry Rd Wilsonville, OR - 970707523 |
Business Phone Number: | 5035706555 |
Business Fax Number: | |
Mailing Address: | Po Box 9000, WILSONVILLE |
State: | OR |
Postal Code: | 970709000 |
Phone Number: | 5035706555 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CADC-I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |