Individual
AMBER S GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-PP
Contact information
Practice address
1010 SW COAST HWY, NEWPORT, OR 97365-5288
(541) 265-0445
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
(541) 574-6252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201500367NP-PP
OR
363LF0000X
Family Nurse Practitioner
3006255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201500366RN
RN
OR
01
—
201500367NP-PP
NP-PP
OR
05
—
500682364
—
OR
01
—
F1009203
AANP
OR
Enumeration date
12/18/2009
Last updated
06/04/2020
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