Provider Demographics
NPI:1215611140
Name:PARULSKI, AMANDA LEE (LCSW)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LEE
Last Name:PARULSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18843 AUTUMN CREST PL
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-8265
Mailing Address - Country:US
Mailing Address - Phone:503-806-0032
Mailing Address - Fax:
Practice Address - Street 1:18843 AUTUMN CREST PL
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-8265
Practice Address - Country:US
Practice Address - Phone:503-806-0032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL65981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical