NPI 1336795905

Amy North

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Portland, OR

Practice location

Address: 11035 NE Sandy Blvd, Portland, OR 97220-2553
Phone: (503) 258-4200

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1336795905
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2019
Record last updated: 9 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.