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1679163000
AMANDA ROTH
PORTLAND, OR
NPI
1679163000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11610)
Enumeration Date
2021-01-20
Last Update Date
2024-01-15
Business Address
AMANDA ROTH LCSW
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-5377
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Mailing Address
AMANDA ROTH LCSW
1261 NW OVERTON ST # 143
PORTLAND, OR 97209-3788
Phone number:
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