Individual
MS. AMANDA GENUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1320 MERIDIAN DR, WOODBURN, OR 97071-9668
(503) 680-4013
Mailing address
6630 NE GARFIELD AVE, PORTLAND, OR 97211-3068
(503) 680-4013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10370
OR
Other
Enumeration date
03/03/2014
Last updated
12/11/2020
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