Individual
AMANDA PASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
905 SE 14TH AVE, PORTLAND, OR 97214-2569
(503) 991-5522
Mailing address
1160 CHURCH ST NE, SALEM, OR 97301-1109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R11416
OR
101YP2500X
Professional Counselor
Primary
R11416
OR
Other
Enumeration date
01/11/2024
Last updated
02/24/2026
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