Provider Demographics
NPI:1932432432
Name:ARTHURS, AMANDA MARIE (PSYD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARIE
Last Name:ARTHURS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:MARIE
Other - Last Name:SHIMEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3000 MARKET ST NE STE 316
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-1810
Mailing Address - Country:US
Mailing Address - Phone:971-374-1600
Mailing Address - Fax:971-374-1700
Practice Address - Street 1:3000 MARKET ST NE STE 316
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1810
Practice Address - Country:US
Practice Address - Phone:971-374-1600
Practice Address - Fax:971-374-1700
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2419103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical