Amanda Rae Soares MSW, CSWA

NPI 1497063317 - Social Worker - 1041C0700X

NPI Details
NPI 1497063317
Gender Female
Enumeration Date 09/14/2010
Last Updated 09/14/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
722 NE 162ND AVE
PORTLAND OR, 97230-5760, US
Phone (503) 239-8101
Fax
Business Location
722 NE 162ND AVE
PORTLAND OR, 97230-5760, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Oregon
License Number A2507
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According to our database, Ms. Amanda Rae Soares MSW, CSWA NPI is 1497063317, taxonomy code is 1041C0700X and license number is A2507, license state is located at Oregon. Amanda Rae Soares MSW, CSWA physically located at 722 Ne 162nd Ave, Portland OR, 97230-5760. NPI Number Amanda Rae Soares MSW, CSWA has the Individual type.

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1497063317 NPI number is provided on an as is basis without warranty of any kind. 1497063317 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Rae Soares MSW, CSWA are for informational purposes only.