Provider Demographics
NPI:1740595230
Name:WELSH, AMY ROBBEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ROBBEN
Last Name:WELSH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NE 20TH AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2299
Mailing Address - Country:US
Mailing Address - Phone:503-433-6016
Mailing Address - Fax:971-229-4723
Practice Address - Street 1:825 NE 20TH AVE STE 225
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2299
Practice Address - Country:US
Practice Address - Phone:503-433-6016
Practice Address - Fax:971-229-4723
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR46411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical