Provider Demographics
NPI:1861647695
Name:QUARING, AMY ROSE (LPC CADCIII)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ROSE
Last Name:QUARING
Suffix:
Gender:F
Credentials:LPC CADCIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51579 COLUMBIA RIVER HWY STE I
Mailing Address - Street 2:
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-8411
Mailing Address - Country:US
Mailing Address - Phone:971-380-0238
Mailing Address - Fax:833-559-0967
Practice Address - Street 1:51579 COLUMBIA RIVER HWY STE I
Practice Address - Street 2:
Practice Address - City:SCAPPOOSE
Practice Address - State:OR
Practice Address - Zip Code:97056-8411
Practice Address - Country:US
Practice Address - Phone:971-380-0238
Practice Address - Fax:833-559-0967
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
ORC3230101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR195164Medicaid