Healthcare Provider Details

I. General information

NPI: 1336700368
Provider Name (Legal Business Name): AMBER LYNN MATTHEWS B.A., PSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

687 CHESHIRE AVE
EUGENE OR
97402-5060
US

IV. Provider business mailing address

3729 KLINDT DR
THE DALLES OR
97058-3566
US

V. Phone/Fax

Practice location:
  • Phone: 541-684-4100
  • Fax: 541-684-4156
Mailing address:
  • Phone: 541-298-2101
  • Fax: 541-298-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: