Gloudeman, Amanda Jo

Gloudeman, Amanda Jo is an sole proprietor health care provider with primary practice located at 1601 E 4Th Plain Blvd , Vancouver WA 98661-3713. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Gloudeman, Amanda Jo can be contacted via phone (360) 397-8246.

Contact Information

Primary practice address
1601 E 4Th Plain Blvd Vancouver WA 98661-3713
Phone: (360) 397-8246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CG61340298 Washington
Agencies / Case Management 251B00000X

Profile Details

NPI number 1265168348
LBN Legal business name Gloudeman, Amanda Jo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2022
Last updated May 2nd, 2023 - 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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