Individual
MS. AMY PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9135 SW BARNES RD STE 561, PORTLAND, OR 97225
(503) 216-2339
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
4755
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500718928
—
OR
Enumeration date
09/01/2016
Last updated
03/24/2021
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