Healthcare Provider Details

I. General information

NPI: 1538076690
Provider Name (Legal Business Name): AMANDA SEBRING, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 NW 169TH PL STE 201
BEAVERTON OR
97006-7310
US

IV. Provider business mailing address

1865 NW 169TH PL STE 201
BEAVERTON OR
97006-7310
US

V. Phone/Fax

Practice location:
  • Phone: 503-863-8607
  • Fax: 971-441-5664
Mailing address:
  • Phone: 503-863-8607
  • Fax: 971-441-5664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMANDA JAN SEBRING
Title or Position: MENTAL HEALTH COUNSELOR, OWNER
Credential: MSW, LCSW
Phone: 503-863-8607