Individual
AMANDA JEAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-1354
Contact information
Practice address
11590 SW LOMITA AVE, TIGARD, OR 97223-6419
(307) 349-8491
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L12964
OR
101YM0800X
Mental Health Counselor
LCSW-1354
WY
Other
Enumeration date
12/01/2017
Last updated
02/15/2023
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