Provider Demographics
NPI:1174809149
Name:SANCHEZ, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11492 SE 90TH AVE APT 724
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4701
Mailing Address - Country:US
Mailing Address - Phone:760-484-6723
Mailing Address - Fax:
Practice Address - Street 1:11492 SE 90TH AVE APT 724
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-4701
Practice Address - Country:US
Practice Address - Phone:760-484-6723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-22
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor