Individual provider · Type 1 NPI
Amanda Elaine Desmarais Bawcom
Counselor · Beaverton, OR
NPI number
1902694490
Active
Practice location
6800 SW 105th Ave Ste 101
Beaverton, OR 97008-5488
Mailing address
16317 SW Bridle Hills Dr
Beaverton, OR 97007-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1902694490
Amanda Elaine Desmarais Bawcom's National Provider Identifier is 1902694490, issued on Apr 25, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Beaverton, OR. The record was last updated on Apr 28, 2025.