Ball, Amanda D

Ball, Amanda D is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ball, Amanda D can be contacted via phone (503) 494-6176.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-6176
Fax: (503) 494-6152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008473 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2685 Oregon

Profile Details

NPI number 1003116112
LBN Legal business name Ball, Amanda D
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2010
Last updated Jan 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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