Individual
AMY HINSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 VIRGINIA AVE, NORTH BEND, OR 97459-2716
(541) 305-4224
(541) 305-4227
Mailing address
PO BOX 4858, PORTLAND, OR 97208-4858
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201701619NP
OR
363L00000X
Nurse Practitioner
AP61156698
WA
363LF0000X
Family Nurse Practitioner
201701619NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP61156698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2181081
—
WA
05
—
500731433
—
OR
05
—
500740873
—
OR
Enumeration date
03/20/2018
Last updated
04/26/2023
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