Individual
AMANDA NGOUAJIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY ST STE 607, PORTLAND, OR 97210-5104
(503) 222-3638
(503) 223-5139
Mailing address
2222 NW LOVEJOY ST STE 607, PORTLAND, OR 97210-5104
(503) 222-3638
(503) 223-5139
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R-10996
IA
207YP0228X
Pediatric Otolaryngology Physician
R-10996
IA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
R-10996
IA
207YS0123X
Facial Plastic Surgery Physician
R-10996
IA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
R-10996
IA
207YX0602X
Otolaryngic Allergy Physician
R-10996
IA
207YX0901X
Otology & Neurotology Physician
R-10996
IA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
R-10996
IA
Other
Enumeration date
06/07/2017
Last updated
06/10/2024
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