Individual
AMANDA LEE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3303 S BOND AVE FL 7, PORTLAND, OR 97239-4501
(503) 494-1775
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202100354RN
OR
163W00000X
Registered Nurse
RN60445600
WA
363LF0000X
Family Nurse Practitioner
Primary
10028458
OR
Other
Enumeration date
07/14/2023
Last updated
10/17/2024
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