Individual
AMANDA HEARN MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5016
(503) 255-5094
Mailing address
1620 ASH ST, LAKE OSWEGO, OR 97034-4770
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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