NPI 1003186636

Amy Hetlage, MSW

Practitioner Social Worker Portland, OR

Practice location

Address: 3415 SE Powell Blvd, Portland, OR 97202-3371
Phone: (503) 234-9591

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Oregon →

Registry record

NPI: 1003186636
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2012
Record last updated: 12 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.