Amber Mudong
Amber Mudong is a Peer Specialist in Dallas, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
182 SW Academy StDallas, OR 97338-1996
Phone: (503) 623-9289
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1063108322 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2023 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 23, 2024 |
| Mailing address | 3587 Liberty Rd, Dallas, OR 97338 |
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