Mudong, Amber

Mudong, Amber is an sole proprietor health care provider with primary practice located at 182 Sw Academy St , Dallas OR 97338-1996. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Mudong, Amber can be contacted via phone (503) 623-9289.

Contact Information

Primary practice address
182 Sw Academy St Dallas OR 97338-1996
Phone: (503) 623-9289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1063108322
LBN Legal business name Mudong, Amber
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2023
Last updated May 7th, 2024 - about 7 months 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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