Healthcare Provider Details

I. General information

NPI: 1427833912
Provider Name (Legal Business Name): AMANDA ELISABETH MURRAY MS, QMHP, CADC-II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 N ELDORADO AVE
KLAMATH FALLS OR
97601-6418
US

IV. Provider business mailing address

705 WASHBURN WAY
KLAMATH FALLS OR
97603-3648
US

V. Phone/Fax

Practice location:
  • Phone: 541-883-1030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26-QMHP-R-4491
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: