MEDICARE: MS. AMANDA J IHLE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	L11965	OR

General Provider Information

NPI Number	:	1417340761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA J IHLE LCSW

Provider Business Mailing Address
First Line	:	1716 HALLINAN ST
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97034-6100
Country	:	US
Telephone Number	:	360-980-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1716 HALLINAN ST
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97034-6100
Country	:	US
Telephone Number	:	360-980-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2015
Last Update Date	:	02/12/2026

Similar Medicare Providers

1265538854 — DR. SATISH CUDDAPAH MD
Practice Location Address:

6100 LAKE FORREST DR STE 320
ATLANTA, GA
30328-3835

Practice Phone: 404-890-6064
Practice Fax: 404-890-5587

1699745166 — JENNIFER LYNN SPEAKER M.D.
Practice Location Address:

6100 LAKE WORTH BLVD
FORT WORTH, TX
76135-3703

Practice Phone: 817-237-3321
Practice Fax: 817-237-7970

1295707818 — DR. MICHAEL R LAUE OD
Practice Location Address:

6100 RONALD REAGAN BLVD.
LAKE ST. LOUIS, MO
63367

Practice Phone: 636-625-2143
Practice Fax: 636-625-2148

1467498006 — FRED MEYER STORES INC
Practice Location Address:

6100 E LAKE SAMMAMISH PKWY SE
ISSAQUAH, WA
98029-8926

Practice Phone: 425-416-1133
Practice Fax: 425-416-1127

1609807924 — WILLIAM THOMAS GILES D.O.
Practice Location Address:

6100 LAKE WORTH BLVD
FORT WORTH, TX
76135-3703

Practice Phone: 817-237-3321
Practice Fax: 817-237-7970

1053344580 — SHAWN D PARSLEY DO
Practice Location Address:

6100 LAKE WORTH BLVD
FORT WORTH, TX
76135-3703

Practice Phone: 817-237-3321
Practice Fax: 817-237-7970

Directions to “ MS. AMANDA J IHLE LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.