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Amanda Lee Irwin-Rugg

Social Worker

Behavioral Health & Social Service Providers

1925 NE Stucki Ave Ste 150, Hillsboro, OR 97006-6950

PECOS Enrollment

This provider is enrolled in PECOS as AMANDA IRWIN-RUGG.

Based on the most recent information from CMS, provider Amanda Lee Irwin-Rugg is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1124613476
Provider Type
Individual
Full Name
Irwin-Rugg, Amanda Lee
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/8/2021
Last Updated
1/13/2025

Contact Information

Practice Location

1925 NE Stucki Ave Ste 150, Hillsboro, OR 97006-6950

(814) 408-0014

Unlisted Fax

Mailing Location

1925 NE Stucki Ave Ste 150, Hillsboro, OR 97006-6950

(814) 408-0014

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW023812 Pennsylvania
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License AR165251 Pennsylvania

Amanda Lee Irwin-Rugg

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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