Individual
AMBER L VERMEESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MSN, FNP-C, RN
Contact information
Practice address
4400 NE HALSEY ST, BLDG 2, SUITE 400, PORTLAND, OR 97213-1545
(425) 525-3395
Mailing address
4400 NE HALSEY ST., BLDG 2, SUITE 400, PORTLAND, OR 97213
(425) 525-3395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201403724NP-PP
OR
363LF0000X
Family Nurse Practitioner
4704285068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33477221
MEDICARE
TN
05
—
33477221
—
TN
01
—
4159477
BLUE CROSS
TN
01
—
4159484
BLUE CROSS
TN
01
—
4176429
BLUE CROSS
TN
01
—
RN0000152041
RN LICENSE
TN
Enumeration date
02/13/2007
Last updated
03/24/2017
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