Robert Steven Amavisca
Counselor • Salem, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Amavisca has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Robert Amavisca was a registered Counselor practicing in Salem, OR. Throughout an active medical career spanning 6 years, Robert Amavisca provided care at the practice location at 2645 PORTLAND RD NE STE 120 until profile deactivation on 2025-06-19.
Practice Location & Contact Primary Location
2645 Portland Rd Ne Ste 120
Salem, OR 973010200
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Salem, OR
Practicing in Salem, OR (4551 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Case Manager/Care Coordinator
Peer Specialist
Counselor
Social Worker
Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2025
NPI status registered as active in NPPES database
Registered at 2645 PORTLAND RD NE STE 120, SALEM, OR 973010200 (Tel: 5033905367)
Registered at 3827 MCKENZIE PASS WAY NE APT 101, SALEM, OR 973053999 (Tel: 6028180842)
Recorded as ROBERT AMAVISCA
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3827 Mckenzie Pass Way Ne Apt 101
Salem, OR 973053999
Phone: 6028180842
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