Individual
AMANDA LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11845 SW GREENBURG RD STE 210, TIGARD, OR 97223-6464
(971) 264-0952
Mailing address
11845 SW GREENBURG RD STE 210, TIGARD, OR 97223-6464
(971) 264-0952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
11/08/2021
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