Individual provider · Type 1 NPI
Amanda Jean Matthews, LCSW-1354
Mental Health Counselor · Tigard, OR
NPI number
1386158111
Active
Practice location
11590 SW Lomita Ave
Tigard, OR 97223-6419
Mailing address
8915 SW Center St
Tigard, OR 97223-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW-1354 (WY) |
| Mental Health Counselor Primary | 101YM0800X | L12964 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1386158111
Amanda Jean Matthews, LCSW-1354's National Provider Identifier is 1386158111, issued on Dec 1, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Feb 15, 2023.