Individual
AMANDA S PINZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1003 PROVIDENCE DR, NEWBERG, OR 97132-7521
(503) 537-5900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA175243
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50695123
—
OR
Enumeration date
09/12/2014
Last updated
06/21/2021
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