Amanda Willard is a Peer Specialist based in Milwaukie, OR. Amanda Willard practices in Milwaukie, OR. The NPI Number for Amanda Willard is 1245751890 and holds a License No. (Oregon).
The current practice location address for Amanda Willard is 11097 Se 21St Ave, Milwaukie, OR and can be reached out via phone at 971-803-8055.
Location: 11097 Se 21St Ave, Milwaukie, OR, 97222-7640
Provider Profile Details
NPI Number
1245751890
Provider Name
Amanda Willard
Credential
Provider Entity Type
Individual
Gender
Female
Address
11097 Se 21St Ave, Milwaukie, OR, 97222-7640
Phone Number
971-803-8055
Fax Number
Provider Enumeration Date
07/05/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
11097 Se 21St Ave
City
State
Zip
97222-7640
Phone Number
971-803-8055
Fax Number
Provider Business Mailing Address Details
Address
11097 Se 21St Ave
City
State
Zip
97222-7640
Phone Number
971-803-8055
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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