Individual
MS. AMY KATHLEEN SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1605 NE BROADWAY ST, PORTLAND, OR 97232-1425
(503) 331-8156
Mailing address
1605 NE BROADWAY, PORTLAND, OR 97232
(503) 331-8156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2881
OR
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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