Individual
AMANDA LEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
222 COMMERCIAL ST. NE, SUITE 2101, SALEM, OR 97301, SUITE 2101, SALEM, OR 97301
(503) 374-5291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10852
OR
1041S0200X
School Social Worker
524511
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500779112
—
OR
Enumeration date
05/18/2020
Last updated
09/12/2023
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