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Individual

AMANDA L CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1130 NW 22ND AVENUE, STE 640, PORTLAND, OR 97210
(503) 229-7976
(503) 274-4867
Mailing address
PO BOX 3068, PORTLAND, OR 97208-3068
(503) 229-7976
(503) 274-4867

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
202004793NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
AP61660854
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
202004793NP-PP
OR

Other

Enumeration date
09/18/2016
Last updated
09/25/2025
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