Henrickson, Amber Jeanne

Henrickson, Amber Jeanne is an sole proprietor health care provider with primary practice located at 4235 Sw Corbett Ave , Portland OR 97239-4203. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Henrickson, Amber Jeanne can be contacted via phone (503) 789-7108.

Contact Information

Primary practice address
4235 Sw Corbett Ave Portland OR 97239-4203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1740 Washington

Profile Details

NPI number 1588102461
LBN Legal business name Henrickson, Amber Jeanne
Credentials NTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2017
Last updated Feb 10th, 2017 - about 7 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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