Provider Demographics
NPI:1932386778
Name:MULVEY, AMBER MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:MARIE
Last Name:MULVEY
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 1:29333 SW TOWN CENTER LOOP E UNIT 2063
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-1149
Mailing Address - Country:US
Mailing Address - Phone:503-967-4721
Mailing Address - Fax:
Practice Address - Street 1:11324 SW MONT BLANC ST
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-7933
Practice Address - Country:US
Practice Address - Phone:503-967-4721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR107831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical