Provider Demographics
NPI:1861647695
Name:QUARING, AMY ROSE (MA)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ROSE
Last Name:QUARING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-0252
Mailing Address - Country:US
Mailing Address - Phone:971-380-0238
Mailing Address - Fax:833-559-0967
Practice Address - Street 1:230 MACARTHUR ST
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-1118
Practice Address - Country:US
Practice Address - Phone:713-800-2389
Practice Address - Fax:833-559-0967
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
ORC3230101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR195164Medicaid