Individual
AMANDA MAESER RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT REG INTERN
Contact information
Practice address
7000 SW HAMPTON ST STE 120, TIGARD, OR 97223-8361
(971) 800-1506
Mailing address
5120 LINN LN, WEST LINN, OR 97068-2911
(503) 657-9697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R5253
OR
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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