IndividualActive
Amy Hetlage, MSW
NPI 1003186636 · Social Worker · Portland, OR
Provider details
- NPI number
- 1003186636
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3415 Se Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Approximate (ZIP-level) locationGet directions
Mailing address
3415 Se Powell Blvd
Portland, OR 97202-3371
Registry dates
- Enumerated
- 2012-01-12
- Last updated
- 2012-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.