Healthcare Provider Details

I. General information

NPI: 1962278226
Provider Name (Legal Business Name): AMBER NICOLE WORKMAN NBCHWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 SE 131ST AVE STE 203
VANCOUVER WA
98683-4013
US

IV. Provider business mailing address

406 SE 131ST AVE STE 203
VANCOUVER WA
98683-4013
US

V. Phone/Fax

Practice location:
  • Phone: 360-433-9580
  • Fax: 866-824-5107
Mailing address:
  • Phone: 360-433-9580
  • Fax: 866-824-5107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: