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Individual

MISS AMANDA MAGDALENA KINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
Mailing address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(678) 446-0660

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10006101
OR
363LF0000X
Family Nurse Practitioner
FFFFFFFFFFFFFFF
CO

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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