Kanallakan, Amber L

Kanallakan, Amber L is an individual health care provider with primary practice located at 5291 Ne Elam Young Pkwy Ste 160 , Hillsboro OR 97124-7560. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kanallakan, Amber L can be contacted via phone (503) 372-5147.

Contact Information

Primary practice address
5291 Ne Elam Young Pkwy Ste 160 Hillsboro OR 97124-7560
Phone: (503) 372-5147
Fax: (503) 650-4302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1396377990
LBN Legal business name Kanallakan, Amber L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Nov 17th, 2021 - about 5 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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