Individual
AMY SWALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAT, ATR-BC
Contact information
Practice address
5280 SE FOSTER RD, PORTLAND, OR 97206-2936
(503) 312-6005
Mailing address
4207 SE WOODSTOCK BLVD # 361, PORTLAND, OR 97206-6267
(503) 312-6005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C4192
OR
101YM0800X
Mental Health Counselor
Primary
C4192
OR
101YP2500X
Professional Counselor
C4192
OR
221700000X
Art Therapist
ART-C-10205600
OR
Other
Enumeration date
08/04/2014
Last updated
02/09/2024
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