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Amy A Thompson, QMHP-C
Mental Health Counselor in Portland, Oregon
NPI 1164756722

Amy A Thompson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Amy A Thompson practices in Portland, OR and has the professional credentials of QMHP-C. The NPI Number for Amy A Thompson is 1164756722 and holds a License No. 19-QMHPC-00740 (Oregon).

The current practice location address for Amy A Thompson is 1310 Sw 17Th Ave, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.

Location: 1310 Sw 17Th Ave, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1164756722
Provider Name
Amy A Thompson
Credential
QMHP-C
Provider Entity Type
Individual
Gender
Female
Address
1310 Sw 17Th Ave, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-467-4077
Provider Enumeration Date
09/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500774161 05 OR
institution
Provider Business Practice Location Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider Business Mailing Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
19-QMHPC-00740 (Oregon)
Definition
Definition to come...
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