Amy Jennifer Malia Crockford - Portland, OR

Amy Jennifer Malia Crockford

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1104102813

Amy Jennifer Malia Crockford is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Amy Jennifer Malia Crockford practices in Portland, OR. The NPI Number for Amy Jennifer Malia Crockford is 1104102813 and holds a License No. (Oregon).

The current practice location address for Amy Jennifer Malia Crockford is 5200 Sw Macadam Ave, Portland, OR and can be reached out via phone at 503-231-7854.

Location: 5200 Sw Macadam Ave, Portland, OR, 97239

NPI Number

1104102813

Provider Name

Amy Jennifer Malia Crockford

Credential

Provider Entity Type

Individual

Gender

Female

Address

5200 Sw Macadam Ave, Portland, OR, 97239

Phone Number

503-231-7854

Fax Number

Provider Enumeration Date

10/26/2011

Last Update Date

03/09/2024

Address

5200 Sw Macadam Ave

City

Portland

State

Oregon

Zip

97239

Phone Number

503-231-7854

Fax Number

Address

5200 Sw Macadam Ave

City

Portland

State

Oregon

Zip

97239

Phone Number

503-231-7854

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

()

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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