Provider Demographics
NPI:1932428117
Name:BEENE, AMY MARGARET
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MARGARET
Last Name:BEENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARGARET
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:3950 NW 183RD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229
Mailing Address - Country:US
Mailing Address - Phone:479-549-5646
Mailing Address - Fax:
Practice Address - Street 1:3000 NW STUCKI PLACE
Practice Address - Street 2:SUITE 150
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124
Practice Address - Country:US
Practice Address - Phone:503-444-8230
Practice Address - Fax:503-295-4036
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1509102101YM0800X
ORC4478101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health