Individual
AMANDA LEE IRWIN-RUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1925 NE STUCKI AVE STE 150, HILLSBORO, OR 97006-6950
(814) 408-0014
Mailing address
1925 NE STUCKI AVE STE 150, HILLSBORO, OR 97006-6950
(814) 408-0014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
AR165251
PA
1041C0700X
Clinical Social Worker
Primary
CW023812
PA
1041C0700X
Clinical Social Worker
L15903
OR
Other
Enumeration date
03/08/2021
Last updated
09/30/2025
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