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Amanda Y Ullrick

Adult Companion in Portland, OR. Individual provider (NPI-1).

NPI number1164042958
StatusActive
Last updated in NPPESApr 21, 2020

Details

NPI
1164042958
Entity type
Individual (NPI-1)
Name
Amanda Y Ullrick
Sex
Female
Sole proprietor
No
Enumeration date
Apr 21, 2020
Certification date
Apr 21, 2020
Last updated
Apr 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

1232 Nw 23rd Ave
Portland, OR 97210-2906

Phone 503-227-3450

Mailing address

Po Box 8459
Portland, OR 97207-8459

Phone 503-238-0769

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