Individual
EDWARD AMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099006453RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
099006453RN
OR
Other
Enumeration date
08/07/2013
Last updated
06/16/2017
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