Wellformed AI

NPI 1790384238 · live from the CMS NPI Registry

Amy R Duryea LCSW LLC

Social Worker, Clinical in Redmond, OR. National Provider Identifier 1790384238, active.

NPI record

NPI1790384238 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location2432 Sw 35th Dr, Redmond, OR 97756
Practice phone541-204-0100
EnumeratedOctober 24, 2020
Last updatedAugust 11, 2023
Authorized officialAmy Duryea, Owner/Provider

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.