Individual
ANGELA AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9775 SE SUNNYSIDE RD, SUITE 200, CLACKAMAS, OR 97015-5739
(503) 655-8471
(503) 723-4907
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201142795RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201508262NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500700278
—
OR
Enumeration date
04/22/2013
Last updated
04/16/2019
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