Provider Demographics
NPI:1689124224
Name:SENGER, AMBER MARIE (LPC ASSOCIATE)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:MARIE
Last Name:SENGER
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:MARIE
Other - Last Name:ORNELAS SENGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC ASSOCIATE
Mailing Address - Street 1:3 MONROE PARKWAY, STE. P821
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035
Mailing Address - Country:US
Mailing Address - Phone:503-805-4672
Mailing Address - Fax:
Practice Address - Street 1:3 MONROE PARKWAY, STE. P821
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035
Practice Address - Country:US
Practice Address - Phone:503-805-4672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR6770101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500791925Medicaid