Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Mangum, LOTR

Individual provider Mental Health Counselor · NPI 1134766108

Amy Mangum, LOTR is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Phone: (503) 292-0765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 402335 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1134766108
Entity typeIndividual (Type 1)
GenderFemale
Credentials LOTR
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

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