Individual
AMANDA G PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
(270) 943-7818
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
289037
KY
106H00000X
Marriage & Family Therapist
Primary
R9062
OR
Other
Enumeration date
10/21/2025
Last updated
03/30/2026
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