AMANDA MACY VANWAGENEN

PORTLAND, OR
NPI1487269429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-09-15
Last Update Date2020-09-15
Business Address
AMANDA MACY VANWAGENEN
2375 NW GLISAN ST
PORTLAND, OR 97210-3420
Phone number: 503-963-7641
Mailing Address
AMANDA MACY VANWAGENEN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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