Healthcare Provider Details

I. General information

NPI: 1831316850
Provider Name (Legal Business Name): AMY ELIZABETH HALLORAN-STEINER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 NE 5TH ST
MCMINNVILLE OR
97128-4508
US

IV. Provider business mailing address

17504 SW MASONVILLE RD
MCMINNVILLE OR
97128-8564
US

V. Phone/Fax

Practice location:
  • Phone: 503-857-7376
  • Fax:
Mailing address:
  • Phone: 503-857-7376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL3366
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: