Individual
AMY ELISE HOAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MCC, QMHP
Contact information
Practice address
1130 SW MORRISON ST STE 328, PORTLAND, OR 97205-2214
(971) 666-3257
(541) 322-7565
Mailing address
1130 SW MORRISON ST STE 328, PORTLAND, OR 97205-2214
(971) 666-3257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7140
OR
Other
Enumeration date
05/14/2019
Last updated
12/01/2022
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