Individual
AMANDA CHIAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(800) 452-3563
(503) 494-4447
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(800) 452-3563
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3643
OR
103TC2200X
Clinical Child & Adolescent Psychologist
003987
CT
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
03/20/2017
Last updated
09/06/2023
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