Individual
AMANDA MARIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5700 SW DOSCH RD, PORTLAND, OR 97239-1153
(503) 636-4176
(503) 766-5707
Mailing address
PO BOX 1991, TUALATIN, OR 97062-1991
(503) 936-3821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4250
OR
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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