Black, Amy Kileen

Black, Amy Kileen is an individual health care provider with primary practice located at 2507 Christie Dr. , Lake Oswego OR 97034. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Black, Amy Kileen can be contacted via phone (503) 635-3416.

Contact Information

Primary practice address
2507 Christie Dr. Lake Oswego OR 97034
Phone: (503) 635-3416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1801090840
LBN Legal business name Black, Amy Kileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Dec 22nd, 2022 - about 3 years ago

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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