NPI 1093158321 · live from the CMS NPI Registry
Amanda Amendola, MSW
Social Worker in Portland, OR. National Provider Identifier 1093158321, active.
NPI record
| NPI | 1093158321 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 11035 Ne Sandy Blvd, Portland, OR 97220 |
| Practice phone | 503-258-4200 |
| Enumerated | April 17, 2013 |
| Last updated | August 25, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | P007394 (NC) |
| Social Worker primary | 104100000X | — (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.