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Amy Kileen Black
Mental Health Counselor in Lake Oswego, Oregon
NPI 1801090840

Amy Kileen Black is a Mental Health Counselor based in Marylhurst, OR and is specialized in Mental Health. Amy Kileen Black practices in Lake Oswego, OR. The NPI Number for Amy Kileen Black is 1801090840 and holds a License No. (Oregon).

The current practice location address for Amy Kileen Black is 2507 Christie Dr., Lake Oswego, OR and can be reached out via phone at 503-635-3416.

Location: 2507 Christie Dr., Lake Oswego, OR, 97036-0368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801090840
Provider Name
Amy Kileen Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
2507 Christie Dr., Lake Oswego, OR, 97036-0368
Phone Number
503-635-3416
Fax Number
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2507 Christie Dr.
City
Lake Oswego
State
Oregon
Zip
97034
Phone Number
503-635-3416
Fax Number
person
Provider Business Mailing Address Details
Address
2507 Christie Dr.
City
Lake Oswego
State
Oregon
Zip
97034
Phone Number
503-635-3416
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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